It is unknown at this time what role sugar plays in autoimmune or rheumatic conditions. What has been described is an increased risk of developing autoimmune or rheumatic conditions among adults whose diet is rich in simple sugars (not sugar or carbohydrate from grains, fruits, vegetables, pulses). As part of eating well, simple sugars from juices, pop, sweet treats, drinkable dairy products, added into processed foods like high fructose corn syrup should be limited, regardless of rheumatic diagnosis. As well, overweight and obesity is associated with diets rich in simple sugars, and becoming overweight or obese can negatively impact a child’s journey with a rheumatic condition e.g. limit mobility, affect disease activity (studies in adults), increase risk of other comorbid conditions (e.g. fatty liver disease). Risk of becoming overweight or obese in childhood increases with some medications, like Prednisone, so close growth monitoring is important.