4th Pediatric Infectious Diseases Conference
 
 
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Pedi Poll
Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
DIET AND DIABETES
DIET AND DIABETES
Ms. Monica Adhikari
Senior Dietician in Pediatric,
Sheffield Children's Hospital, UK

Hypoglycaemia:- Hypoglycaemia is the most common short-term complications in diabetes and occurs when blood glucose levels falls too low. Hypoglycaemic episodes are especially likely to happen before meals. This can happen as results of:

  • Too much insulin  Too much insulin
  • Not enough food to fuel an activity  Not enough food to fuel an activity
  • Too little food at any stage of the day  Too little food at any stage of the
        day
  • A missed meal or delayed meal or snack  A missed meal or delayed meal or
        snack
  • Cold weather  Cold weather
  • The child vomiting  The child vomiting.
Hypoglycaemic episodes happen quickly, but most children will have warning signs that will alert them.

These warning can include :-
  • Hunger  Hunger
  • Drowsiness  Drowsiness
  • Pallor  Pallor
  • Headache  Headache
  • Sweating  Sweating
  • Glazed eyes  Glazed eyes
  • Trembling or shakiness  Trembling or shakiness
  • Lack of concentration  Lack of concentration
  • Mood changes especially angry or aggressive behaviour  Mood changes especially angry or aggressive behaviour.
Treating a Hypoglycaemic episode:-

Immediately give something sugary e.g.:-
  • Sugar/rock sugar Sugar/rock sugar
  • Fruit juice Fruit juice
  • Glucose tablets Glucose tablets
  • Fizzy drinks (thumbs up, limca, gold spot, pepsi) Fizzy drinks (thumbs up, limca, gold spot, pepsi)
Hypostop, honey or jam can be massaged into child' s cheek if they are too drowsy to take anything themselves. Follow this with some starchy food to prevent the blood glucose from dropping again:

  • Sandwich  Sandwich
  • Fruit  Fruit
  • Thepla  Thepla
  • Khakra  Khakra
  • Piece of cake  Piece of cake
  • Two biscuits  Two biscuits
Thus for diabetes it is important to follow healthy eating and for tips for them are as follows:-

  • ETo gat ETo gat regularly:-
        * To give your child to eat every 3-4 hrs.
        * Do not skip meals or miss meals.
  • Eat plenty of starchy foods Eat plenty of starchy foods:- Include starch portion at each meal for
        e.g. rice, Chapatti, paratha, bread, poha (rice flakes), Suji (rava),
        dahlia (broken wheat).
  • Eat less fat Eat less fat:-
        * To avoid too much fried foods
        * Eat plenty of fruits and vegetables.
  • Regular physical activity Regular physical activity.
  • insulin or diabetes tablets It is important to continue to take your insulin or diabetes
        tablets when you are ill
    even if you lose your appetite.
What should I eat when I am not feeling well?
What should I eat when I am not feeling well?
If you can not manage to eat normal meals make sure you eat or drink some carbohydrate containing foods or drink regularly throughout the day. You may need to eat small amounts every hour or two, especially if your blood glucose is low.

Carbohydrate is contained in starches (such as bread, biscuits, rice, pasta, cereals, potatoes), milk, yoghurt, fruit, fruit juice, sugar and sugary foods.

Below are some examples of carbohydrate containing foods you could try:-
  • A glass (or small carton) of fruit juice A glass (or small carton) of fruit juice
  • A pot of yoghurt, rice pudding or mousse A pot of yoghurt, rice pudding or mousse
  • A glass of milk A glass of milk (OR milk shake, malted milk, or drinking chocolate)
  • A glass of Complan A glass of Complan
  • A bowl of ice cream A bowl of ice cream
  • A glass of lemonade A glass of lemonade
  • A mug of soup A mug of soup
  • A slice of toast A slice of toast

Drink plenty of fluids to avoid dehydration.

Always remember: When going on a trip or holiday to take copy of the diabetes record card.

 

 
 
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