Most children are naturally active and have loads of energy, and the diabetic child is no different.
A desire to run around and play sport, or simply walking to meet up with their friends is very helpful in controlling blood sugar levels.
When it comes to diet however, things can be different.
Children often feel that they know best, and similar minded friends at school also have their own, often misguided, ideas on what makes up a healthy diet.
Even those who know often ignore it under peer pressure to conform.
Growing up is combined with many changes in body and attitude, but there is always pressure on them to fit in with their peers at school, which for the diabetic can be tricky.
That makes it all the more important to try and ensure that they eat the right things at home.
Here are some thoughts: 1.
Children change as they get older, and often have what we call a "growth spurt".
When they do, it's a good idea to meet up with your doctor or dietician, as the child's appetite is often elevated at this time and it's important that they don't binge on foods that could harm them.
2.
If your child is particularly active, playing football in the playground everyday for example, it's important that they know they are using up blood glucose.
They need to be aware of how to react to a "hypo" and should carry certain foods like glucose tablets for use only if they feel they are getting the shakes or however they recognise the onset of a "hypo" 3.
Low fat products are certainly helpful, but keep in mind that the growing child needs some fat to develop, even the diabetic child.
Skimmed milk and low fat dairy products are great, but should be avoided for children under 5 years old, particularly if they are fussy about what they eat anyway.
4.
Whilst it can be hard for a child not to conform to their friends, particularly at mealtimes, there are compromises that can be made so that they can eat healthily but without having to have a specialised diet.
Cutting off the fat from meat at school, or taking the skin off chicken for example is one way a child can eat "normally".
Healthy meat substitutes also help and have a similar texture so that your children probably won't even notice that they are not eating meat! 5.
Children can still enjoy "bad" foods in moderation - after sport at school for example or an evening gym session, which has the added benefit of keeping them fit as well! 6.
Finally, as a diabetic, a child at school will be in a minority.
However, if they can get together with other diabetics they can create a sort of "group dynamic", sharing tips, experiences and ideas.