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DD very affected by low blood sugar but......(13 Posts)
...sometimes she refuses to eat her dinner out of pure contrariness and I am not sure what to do.
She is almost 7 and otherwise healthy. Her older sister also has a sensitivity to LBS although she seems to be growing out of it as the doctor said she would.
If DD doesnt eat the night before then she wakes up with mild Hypo symptoms, nausea, sweating, shaking etc and generally feeling unwell. Within 20 minutes or so of some OJ she is well enough to eat and within 20 minutes of that she is fine again.
My problem is the food refusal. I have 6 children, she is number 4, and the older ones all went through the "I dont want that...." when a meal they have previously loved is placed in front of them. I have always subscribed to "eat what you are given or go without" and when they realise I mean it, they grow out of it pretty quickly! I dont have time to be buggering about making seperate meals for someone who is just being awkward (genuine dislike is different, I am not totally U!), but this has led to DD having more Hypos than normal. Last night she refused to eat anything even though I told her what would happen, she just refused saying everything was horrible, even apples which she loves. As I say, normally I would just say "do without then but you are not snacking later, you can wait for breakfast" but I cant do that with her. The problem is that if I pander to her fussiness in the hope of avoiding her being ill, she will (and has, in the past) use this as a way of getting what she wants for meals when she just doesnt fancy what I have made, despite eating it at other times.
I have noticed that if she is in a strop or a bad mood about something, last night it was me turning the Wii off, then she is more likely to refuse to eat her dinner. But I cant allow her to dictate to the whole household just so she doesnt throw a wobbly in the morning can I? DH has suggested letting her get on with it, that a few mornings of waking up feeling like crap should teach her that it isnt worth it!
I am with your DH on this. If she refuses food - for any reason - assuming her hypos are not actually dangerous to her, I would explain what will happen and then leave her to it.
If she feels ill, give her some juice and when she is feeling better offer her a standard family snack (in our household breadsticks) or the meal she has refused, reheated. If she has refused supper an gone to bed hungry, I would go in to her as she is waking up and before she kicks off, and give her a drink and (boring) biscuit or piece of fruit.
Also, try talking to her about the issue, when she is on her own, in a good mood and not at a meal time.
Watching with great interest in the hope of picking up some tips, as my DS is similar. He doesn't become ill as a result of LBS, but becomes progressively more revolting - until the point that he is so revolting that he refuses to eat his meal, even if it's something he loves (it's as if someone has thrown a switch in his brain which means he can't begin to think straight). We have also always told the children that this is their meal and if they leave it, there's nothing else until the next meal - but someone did suggest that I give DS more regular healthy snacks between meals (something I've never done - I've always been rather anti-snacking - I never do it myself either) in the hope of keeping his blood sugar on an even keel, which would then make him more likely to eat his meal. IYSWIM.
Could it be the LBS is making her raty and not want to eat in the evening? I get hypo and I know I need to eat, but am normally so cold and tired that I just want to sleep. If anyone tries to make me eat, they get a very short-tempered response.
No, it isnt the LBS in the evening, she has fruit when she gets in from school and then has dinner later. It is simple fadiness. As I say, the others have all done the same (except DS2 who is a dustbin!) but unfortunately the after effects are more than just being hungry for DD. It doesnt affect her until the following morning, as it is usually about 15 hours since she last ate. She isnt so sensitive that she cant go 3 or 4 hours, but missing dinner and going overnight is long enough to trigger it.
That said, I told her teacher this morning that she had had another hypo and the teacher talked to her about it. She said that her teacher said that it was a bit silly to make herself ill when it made her feel so rotten. DD said that she would eat her dinner in future as her teacher had told her she should. I am grateful to the teacher but slightly annoyed that DD wont listen to me and we will see how long it lasts........!
She usually has milk or water before bed, but if I gave her OJ when she hasnt eaten I wonder if that would help?
Winnie, we dont snack either but I have found that small things regularly are better than three large meals. They have cereal for breakfast (non nestle shreddies usually), fruit at 10am playtime, wholemeal bread sandwich, fruit etc for lunch, the 2 DDs have fruit at 2pm in the classroom with schools agreement, then an apple at 4ish after school, then dinner.
It does seem to keep them in a much more even keel so perhaps that would work? Try offering him a piece of fruit or a drink of fruit juice when you get in from school. What time do you eat? We used to eat around half six but now I do it for half five and that helps too, H now doesnt make it home in time for dinner either way so he just reheats his when he gets in.
Fruit is almost pure sugar, and you can get a rebound hypoglycaemia from it. I get it a lot. Basically, by eating something sugary (whether natural or refined sugars), you can trigger your body's insulin release, but the body can sometimes be a bit out of tune, and release more than was needed, giving a 'post-prandial dip'.
Could you try a glass of milk and a digestive biscuit when she comes in from school, and see if that makes a difference?
The only time there is a problem is if she misses dinner.
I cant eat much sugar at all as I get really horrible crashes and feel appalling. I cant eat sweets, chocolate, cakes, fruit etc I have to ration OJ too. But DD isnt like that, its only if she misses a meal.
My problem is do I let her miss a meal and learn from the consequences or do I give her something to keep her levels high enough to see her through the night and possible encourage the faddiness?
I do think that's a hard one, and it's one that we struggle with. What I tend to do with DS (who is faddy on top of everything else) is try to provide food that I know he will eat, in addition to (or as part of) the rest of the meal. So if we are having lasagne, say, we will have it with salad/veg and ciabatta - knowing that he will eat the salad/veg and ciabatta. Not ideal, but it does help to prevent the no food for 15+ hours scenario and the frightful pre-breakfast tantrums that go with it. But your issue is slightly different, and I hope someone comes up with some useful suggestions that are more specific to your DD's behaviour.
We are trying the intermittent healthy snacks approach - though it's hard during the day as he's a cathedral chorister, so doesn't come out of school in effect until 6.20. I know they do offer 'tea' beforehand, but as he's also nut allergic, he is very cautious around the tea tray. Sigh. I try to get DH to collect him so that he can come straight home and eat immediately.
Sorry, bogeyface, I was thinking that if she is responding as lizzeyloubee1 does, but can't express it to you, then you might not notice it until she just doesn't eat dinner.
I see what you mean Lougle. No, she just takes against certain meals sometimes! She has just announced (this evening) that she doesnt like cheese sauce anymore which is why she didnt want lasagne last night. Would have been useful to know that before I cooked! I would have just given her pasta bolognase instead. Its exactly the same as the others, randomly rejecting certain foods "because". She will grow out of it as the others did, I used to put 1 small forkful of the offending food on their plates and insist that they try it and that was fine. Now they eat anything.
It only happens when, like last night, she hasnt bothered to tell me until it is infront of her that she doesnt like that anymore!
Then, I suggest a half-way house.
She gets food. But it is boring food. So, if she doesn't want to eat your dinner, fine. She can have a piece of plain bread and butter, and a piece of fruit.
She will either be content with that, it will stave off the LBS, and she will survive, or she'll get bored and start eating your dinners.
Thanks Lougle. That would probably work as she does love her food but randomly goes off certain things (dont they all?!) As I said, last night I would have given her pasta and sauce but with a forkful of lasagne to eat and that would be that. But I do need to know
If it happens again then the bread and butter would be a good idea. Thanks
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