My five year old daughter, who has type 1 diabetes, just got her shots for school. Will they affect the blood sugar in any way?

The stress of having a shot and the possibility of a mild reaction to the shot might transiently raise blood sugar levels, but that is all.

DOB
Additional comments from Dr. Stuart Brink:

Immunizations don’t have a direct effect on insulin action, but, if they are modified live viruses and cause a mild “infection”, this may be like any other infection and require added insulin. Usually, this is not a big issue, but closely watching blood glucose levels will let you know if there is a change.

Similarly, if the sugars rise, watching blood or urine ketone levels will let you know how much extra insulin is required. If any doubts, contact your daughter’s diabetes team for specific advice. Kids (and adults) who have diabetes and need immunizations should receive them since the benefits far outweigh any sick day issues.

SB