Brief Answer:
Certain behavioral modifications are needed.

Detailed Answer:
Thanks for asking on HealthcareMagic.

Let me assure you that children would be children. The first 5 years play an significant role in building the person she is to become. Needless to say, the upbringing that you provide during this period, is very important. None of caring too much or too less, is supposed to be good. Unless you or your daughter are conscious about the healthy lifestyles, it is not supposed to get reflected in the practices of your 4 year old granddaughter. The very fact that she has had exposure to sweet and sugary items, indicates that you have been casual about it. It feels good to have sweet items and so the innocent child keeps asking for them. But I am afraid that unless you limit the access to sweet items, she might get conditions like childhood obesity or dental caries. It might be hard to handle the demands of a 4 year old, but your efficiency really counts. There can be no shortcuts to growing this efficiency.

Children of this age keep grossing anything they can from their surroundings. They increase their vocabulary and experiement with its use. So it is very usual for a child of this age to be talkative. It is in fact a good sign. They are innocent and do not think the way adults think. They are not sly and may be revealing anything and everything they observe. Sometime it can be embarrassing for adults like us. Inconsistent behavior from your part may mess up with her morality in formation.

Bed wetting can be effectively controlled by positive reinforcements. Offer the child some simple reward for dry nights. Introduce a star charting wherein you give the child a star for each dry nights. After a certain number of stars are collected, give her the reward of may be taking the child out somewhere. Delayed reward works better in habit formation rather than immediate reward. Do not use punishments. You can use the same method for her refraining from sweets. Other than this method, you can use bed wetting alarms which are quite effective.

As the child experiments with the use of the body, she might like the gratification on rubbing the pelvis, and may experiment with it. That is normal and is often seen in many children. You may either ignore it or let her know that it might be socially inappropriate.

I think that you need not worry. You need to enforce healthy living and proper upbringing of the child as well as her behavioral modification. Wish you all the best for the same.

Regards
Dr. Diptanshu Das

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Brief Answer:
It is not diabetes yet, but do not let it proceed to diabetes

Detailed Answer:
Thanks for writing back.

It is not due to diabetes. But as mentioned earlier, if she is allowed to continue like this, she might be getting childhood obesity and diabetes. That is why such practices need to be restricted.

If you found my answer helpful, please close the answer with 5 star rating and a positive review.

Regards
Dr. Diptanshu Das

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