Unveiling the 5 Essential Tips for Safely Managing Blood Sugar in Children with Diabetes: A Nurse's Perspective

Working in the emergency room, I regularly encounter children with diabetes who arrive for issues related to fluctuating blood sugar levels. Over time, I’ve observed patterns and best practices that help families stay ahead of emergencies. Here are five tips, from my perspective as an ER nurse, that may support better blood sugar management for your child:

1. Follow a Consistent Meal Plan

Balancing carbohydrates, proteins, and healthy fats at each meal can significantly stabilize blood sugar levels. Aim for regular meal and snack times, focusing on nutrient-dense foods rather than processed snacks. If possible, consult with a dietitian who specializes in pediatric diabetes for a personalized meal plan.

Why It Matters: I’ve treated children in the ER whose blood sugar spiked or plummeted partly because of unbalanced meals or unpredictable eating schedules. Consistency goes a long way in preventing these urgent situations.

2. Monitor Blood Glucose Frequently

Regular monitoring is essential to catch blood sugar fluctuations early. Use a glucose meter or continuous glucose monitoring device as recommended by your child’s medical team. Keeping a log of readings—along with notes on meals, activities, or insulin doses—can reveal trends and help you make informed adjustments.

Why It Matters: In the ER, parents who have thorough records of their child’s readings and routines provide invaluable information, allowing us to pinpoint problems quickly.

3. Stay Alert to Hypoglycemia and Hyperglycemia

Recognizing early signs of low blood sugar (shakiness, dizziness, sweating, confusion) or high blood sugar (excessive thirst, frequent urination, fatigue) can save critical time. Teach your child to speak up if they feel “off” and have a plan in place—such as a quick source of sugar for lows and guidelines from your doctor for highs—to address issues before they escalate.

Why It Matters: Many children arrive at the ER with dangerously low or high blood sugar because the warning signs went unnoticed too long. Prompt action at home can prevent a serious hospital visit.

4. Emphasize Routine Physical Activity

Engaging in regular exercise helps the body use insulin more efficiently. Whether it’s a school sport, dance class, or casual playtime at the park, staying active can improve overall glucose control. Be sure to monitor blood sugar levels before, during, and after activity, as exercise can cause levels to fluctuate quickly.

Why It Matters: Some of the healthiest children with diabetes I’ve seen in the ER have consistent exercise routines. It not only improves glucose management but boosts mood and overall health.

5. Involve Your Child in Their Diabetes Care

Encourage your child to learn the basics of blood sugar checks, insulin dosing (if applicable), and the signs of low or high blood sugar. By understanding their condition, children often become more proactive and communicative when something doesn’t feel right.

Why It Matters: In the ER, kids who are aware of their symptoms and comfortable speaking about them help us deliver faster, more targeted care. Empowering your child fosters independence and can reduce emergency visits.

Important Disclaimer

The information in this post is based on my experiences as an ER nurse and is not intended to replace professional medical advice. Every child is unique, and caregivers should use their best judgment and consult healthcare professionals for individualized guidance. I am not liable for any outcomes resulting from the application of these tips.