IMAGINE having to feed your daughter up to 10 times a day so she maintains a healthy blood sugar level, despite her constant vomiting because she feels full.
Yinnar toddler Kelly Chapman and her baby twin sisters Katelyn and Emily were diagnosed six months ago with the genetic condition glycogen storage disease, which affects their livers' abilities to release glycogen.
The girls must be fed every three to four hours to maintain healthy blood sugar levels and avoid slipping into comas.
The disease is so rare it affects only nine other Australians.
Mother Sue Chapman said the easiest way to explain the disease, also known as Forbes' or Cori's disease, was to liken her daughters' bodies to trees.
``They're like the trunk of a tree with no branches, so the carbon dioxide can't get out,'' Ms Chapman said.
``If the carbon dioxide can't get out the tree will die.
``Their livers are five times the size they should be, and they store glycogen but can't get it back out again, so they have to continually eat so they have sugar in their blood.''
Ms Chapman knew something was ``not right'' when Kelly, now two, was a baby, but she was not diagnosed with the disease until three months after the twins were born.
Because the disease weakens the immune system, Kelly had become dangerously ill with tonsilitis and chicken pox, and began convulsing.
The girls' list of ailments is long and heartbreaking, with each symptom causing further health problems.
All three have enlarged livers and spleens, muscle wastage and cramps, and frequent nose bleeds because their spleens store too much blood.
They have distended abdomens, find solid foods difficult to digest and often vomit after eating.
``Liver replacements will probably be on the cards for all of them,'' she said.
``But because it's genetic their bodies could mutate the new liver to the condition of the previous one.
``There's not much sleeping because Katelyn has to be fed every three hours and she's got to have her blood sugar level tested one hour before to make sure her levels are still okay.
``They're bad sleepers because they get muscle cramps, and they don't relax because they can't get comfortable. They've all had a creatine kinase test which measures how much muscle wastage you have.
``The normal range is between 50 and 200. Kelly is 140 now, but Emily is 498 which is twice the normal level, and Katelyn is 698.
``If Katelyn does walk it might not be for long. She'll most likely be in a wheelchair.''
Kelly and 10 month-old Emily understand their bodies and know when they need to eat, Ms Chapman said.
But she said Katelyn's mental development had been stunted because her blood sugar had so often fallen below a safe level.
Katelyn has a tube which runs through her nose into her stomach so she can be fed.
``Last night I started feeding Katelyn at 12.15am and finished feeding her at 3.30am because she kept throwing up. Because her spleen is that much bigger she constantly feels full and doesn't realise she has to eat,'' Ms Chapman said.
The girls' father Joel Chapman is at a conference in America to learn more about the disease.
Ms Chapman said she was grateful to those who had already supported the family.
``We've got great neighbours and we'd like to thank the Yinnar community and everyone else who's been involved for their help,'' she said.
A family friend is setting up a community fund with the Bendigo Bank and hopes donations will provide the couple with further help caring for their girls. Donations can be forwarded to Bendigo Bank, Morwell, or email Julie at jules@speedweb.com.au or phone her on 51631738.