Lina Akter
Children with diabetes need extra care when it comes to food and nutrition. However, being diagnosed with diabetes does not mean that a child should eat less or completely avoid all carbohydrate-containing foods. Instead, a balanced diet should be planned according to the child’s age, physical condition, type of diabetes and use of insulin or other medications.
Children who have diabetes face a daily challenge that requires care, patience, and support from their families, teachers, and communities. Diabetes is a condition in which the body cannot properly control the level of sugar in the blood. Children with diabetes may need regular blood sugar checks, medicines such as insulin, healthy meals, and physical activity. Although these responsibilities can sometimes be difficult, children with diabetes can lead happy, active, and successful lives when they receive proper care. Parents should help them understand their condition without making them feel different from other children. Schools can also provide a safe and supportive environment by allowing children to check their blood sugar, take necessary medicine, eat at appropriate times, and participate in normal activities. Friends and classmates should be kind, understanding, and helpful rather than making fun of them. With modern medical treatment and proper guidance, children with diabetes can attend school, play sports, enjoy hobbies, and achieve their dreams. Awareness is important because it reduces fear and misunderstanding about diabetes. Most importantly, children with diabetes need love, encouragement, and confidence so that they can manage their condition responsibly and grow into healthy, independent adults.
Parents should pay attention to what the child eats, how much they eat, and what types of beverages they consume with meals. In particular, foods high in added sugar and highly processed or packaged foods should be limited, while nutritious, home-prepared foods should be encouraged.
Limit highly processed foods
Chips, cakes, biscuits, sweets, soft drinks, packaged fruit juices, sugary cereals, instant noodles and fast food may contain high amounts of added sugar and refined carbohydrates. These foods can cause blood glucose levels to rise quickly.
Instead, children should be offered wholesome home-prepared foods such as rice or roti, fish, eggs, lentils, vegetables and seasonal fruits.
Pay attention to the amount of sweets
Having diabetes does not necessarily mean that all sweet foods must be completely forbidden. However, sweets, cakes, biscuits and chocolates should not become a regular part of a child’s daily diet. They may be given occasionally and in small portions, depending on the child’s individual dietary plan.
If a child wants to have something sweet, offering a small portion with or after a meal may be preferable to giving it on an empty stomach.
Choose whole fruits instead of fruit juice
Fruits are an important part of a child’s diet because they provide vitamins, minerals and dietary fibre. Whole fruits are generally preferable to fruit juice. Juicing can reduce the amount of fibre consumed and may make it easier for a child to consume a large amount of naturally occurring sugar in a short period.
Guava, apple, orange, papaya, pear and other seasonal fruits can be included in appropriate portions. Pairing fruit with a small amount of nuts, unsweetened yoghurt or another protein-containing food can make a snack more balanced.
Avoid soft drinks and sugary beverages
Soft drinks, energy drinks, sugary syrups and other sugar-sweetened beverages are not healthy choices for children. They can add a large amount of sugar to the diet quickly.
Plain water is the best choice for quenching thirst. To make water more appealing, parents may add slices of lemon or cucumber, without adding extra sugar.
Include protein in meals
Children need protein-rich foods such as fish, eggs, chicken, lentils, chickpeas, yoghurt and milk. Instead of serving only sugary cereals, bread or juice for breakfast, parents can offer eggs, vegetables, whole-wheat roti (flatbread) or oats.
Protein- and fiber-rich foods can help children feel full for longer and may also help reduce rapid fluctuations in blood glucose after meals.
Make the meal plate balanced
Try to include vegetables, a protein source and an appropriate amount of carbohydrate in the same meal. Rice or roti (flatbread) can be served with fish, eggs, chicken or lentils along with plenty of vegetables.
Large portions of rice, potatoes or other carbohydrate-rich foods should be avoided. The appropriate portion should be determined according to the child’s age, nutritional needs and individual diabetes management plan.
Choose healthy snacks instead of packaged foods
Instead of giving children chips, biscuits or cakes every day for school, parents can offer boiled eggs, unsweetened yoghurt, roasted chickpeas, guava, apple, orange or a small portion of nuts.
The amount and timing of snacks should be determined according to the child’s type of diabetes, insulin or medication regimen and the advice of a healthcare professional.
Prevent nutritional deficiencies
While managing diabetes, a child’s diet should not be restricted so much that it causes nutritional deficiencies. Nutritious foods such as fish, eggs, lentils, vegetables, nuts, seeds, milk or yoghurt and whole grains should be included regularly.
A healthcare professional can determine whether a child has a deficiency of nutrients such as omega-3 fatty acids, magnesium or other nutrients and whether supplementation is necessary. Parents should not give dietary supplements to a child without professional advice.
Encourage regular physical activity
Regular physical activity is important for children. Walking, running, cycling, playing outdoor games and other age-appropriate activities can support their overall health.
Light activity after meals may also be beneficial. However, children who use insulin or other diabetes medications may need individualized advice about the timing and intensity of exercise to reduce the risk of blood glucose becoming too low or too high.
Conclusion
Food plays an important role in managing childhood diabetes, but dietary changes alone cannot always control blood glucose levels. Depending on the type of diabetes, a child may require insulin, medication and regular medical follow-up.
Parents should encourage a balanced diet while limiting sugary drinks, excessive sweets and highly processed foods. Regular blood glucose monitoring and adherence to the child’s treatment plan are also important.
If a child develops excessive thirst, frequent urination, unexplained or rapid weight loss, severe weakness, vomiting or difficulty breathing, they should receive medical attention promptly.
Lina Akter is a nutritionist at
Rayan Healthcare Hospital and
Research Center, Dinajpur.
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