Hello, thanks for the query to H.C.M.
Glucose itself causes diuresis so extra urine will pass , it is sure.
Passing of urine is not a big problem.
first of all get in blood examination for C B C , sugar, or any abnormality.
Get in U/S whole of abdomen to rule out any disease in kidneys.
On e thing note down that when urine will pass in excess amount than certain essential minerals bound to pass in urine .
When there is loss of minerals from body patient will feel fatigue and tiredness ( as in you daughter's case)
Diabetes insipidus is a condition characterized by excessive thirst & excretion of large amount of urine.
Regards Dr. HET

Hi,

Thank you for your query on Healthcare Magic.

Tiredness in healthy 4 year old child is quite uncommon.

But child should be examined for presence of anemia and any micro nutrient deficiency like vitamins.

Leg pains are common in children especially during nights which are known as growing pains.

Simple massage or an analgesic like ibuprofen is enough in leg cramps.

Excessive intake of glucose will lead to frequent urination by causing osmotic diuresis.

Fist stop intake of glucose.

Her urine to be given for complete urine examination to look for infection, glucose, and for ketone bodies and for culture and sensitivity to look for the presence of any bacteria.

Consult the pediatrician for examination and for treatment.

Hope I have answered your query.

Regards.