For parents of a child with diabetes, Halloween can be a scarier time than usual. But just because a child has diabetes doesn't mean they have to be left out of the Halloween fun...or even trick or treating for candy.

"Diabetes should not interfere with good Halloween fun," said Caroline Jacobus, a registered nurse and diabetes educator at Faxton St. Luke's Healthcare. "Kids with diabetes can have treats. Moderation is always best with any sweet item and most parents of children with diabetes can read a food label and be able to accommodate any changes to insulin or exercise in order to accommodate for the extra carbohydrates from the candy."

Lisa Piazza knows this all too well. When her daughter...Andrea...was two...she was diagnosed with diabetes. Growing up, Halloween was slightly different for Andrea.

"If I have a whole bunch of sugar my blood would go high so you just have to which what you eat," said Andrea Nardi, her daughter.

"It was a lot different," Piazza said. "We had a support group of parents of children with diabetes with the American Diabetes Association, and we geared it more toward the healthy eating so we'd have the apples and the fruit and sugar free items for the kids...and we'd have a party."

Some parents put more emphasis on the costume portion of Halloween, giving the child something other than candy to get excited about. Some others buy the candy off their children and use the money to buy something else they'd like..such as a book or toy.

But for Lisa and Andrea...it wasn't necessarily about alternatives...just a matter moderation.

"Well, I still went trick or treating but i just couldn't have everything on Halloween. i could just have a couple pieces and then the next day i could have a few just everything in moderation," Nardi said.

It's important to remember that children want to be a part of the activities..the same as their peers are. And taking those opportunities away from them can be very detrimental.

"If you exclude them from trick or treating or doing anything that contains sugar or the carbohydrates...they end up binging when they get older," Piazza said. "So, if you teach them from a young age or anytime they're even diagnosed because there's a lot of kids with type-2 diabetes at a young age. So if you teach them moderation they're gonna be okay."

So, with a little bit of preparation...you can ensure a safe Halloween for your child...without letting diabetes scare away the fun.