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@colleenyoung

Hi @csherman66, I can see that you and your daughter are very concerned about your grandson. He sounds like an active and smart boy who is very loved. Ruling out diabetes is the first important testing that you've done. That's what any online advice from children's hospitals advise.

Your daughter may be onto something with the nipple of the cup being a source of comfort rather than an actual need to quench a thirst. That was also mentioned in this article. In fact, she may even want to skip the sippy cup if possible and encourage his to drink from a regular cup.
- How Much Water Should Your Child Drink? https://www.healthline.com/health/childrens-health/how-much-water-should-a-toddler-drink

I'm tagging fellow members like @patrassi @astaingegerdm who may have some additional thoughts.

Carole, does your grandson have a good appetite? Changing behavior or routines are tough with toddlers. How is the transition going from nipple to a sippy cup or regular cup?

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Replies to "Hi @csherman66, I can see that you and your daughter are very concerned about your grandson...."

I will see my daughter and grandson for dinner tomorrow and see how the transition to sippy cup is going.
His appetite is great and no change in behavior or routine. He is a great eater. When he was about 1 1/2 yrs old he weighed 30 lbs - 90+ percentile. Now that he is 2 1/2 and walking and running got a growth spurt in height , he still weighs 30 lbs. He looks like the perfect weight now for his height. He is very active - everyone says he is always "so busy" reading books, playing w/ toys and basketball, painting, chalk drawing, etc.
Thank you for the healthline link - I previously read that and have probably read EVERY article about diabetes in young children. Including some that, like the comment from Ingegerd below, mentioned diabetes insipidus - rare condition that stems from hormonal problem in the pituitary gland.
She has an appt w/ an endocrinologist in October which is first appt she could get. We really appreciate all suggestions.