Question from Midland, Texas, USA:

My six-year-old daughter has had type 1 since the age of 13 months. She takes three daily injections and her A1c has been steady at 7.9 for the last two years. She has been in the 90th percentile for two years. She is almost 50 inches in height and weighs 81 pounds. Her waist measures at 30.5 inches. Every three months when we visit the endocrinologist, she has gained 3 or 4 pounds. They said it could be lack of exercise. So, at the end of May, we started swimming and I purchased a trampoline. Before swimming and jumping, her waist measured at 37 inches. Now, at the end of July, it is 30.5 inches, but she has not lost any weight. She lost those inches fast. Four weeks after we started, her waist measured at 30 inches. Now, she’s stuck at 30.5 inches and isn’t losing any more. She eats healthy, swims three times a week and jumps every other day or so. Her legs are pure muscle; I can hardly give her a shot there. Her arms are also muscular. It’s all in her belly. I am stuck and don’t know what else to do about her belly weight. She is not on a calorie diet; we base her diet on carbohydrates. The few times I counted her calories, she consumed from 1600 to 1800.