Hi,
One who is ill, such that he needs to eat bread before davening on Shabbat morning, must recite kiddush before eating bread. The same rule applies if he eats "pat haba'ah b'kisnin", grain-based products which are treated like bread when eaten as the foundation of a meal.
(Rav Moshe Feinstein, Igrot Moshe Orach Chaim 2:26)
Have a great day,
Mordechai
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