Question from Champaign, Illinois, USA:

My 17-year-old son, diagnosed at age 13, had a very difficult time with school since his diagnosis. He had very poor attendance so we had to take him out last semester and have him do online classes. He has become lonely and depressed and refused to go to his last diabetes appointment because he was worried they doctor or nurse would criticize his weight. He is not overweight but has been putting on weight and growing quite a bit. I am concerned about him eating too much. His sleep habits are awful; he stays up all night playing video games and sleeps during the day. We have tried therapy, but he doesn’t think it helps and refuses to go. He has dropped out of sports, even though he loves them, because of anxiety. He is taking an antidepressent and we have talked to social workers, therapists, etc., but things are not getting better. Several friends and family members have suggested sending him to boarding school for his senior year, but we are concerned about him having hypoglycemic episodes (he rage boluses a lot) and he refuses the pump or CGM. HELP! We are worried and don’t know what to do.