My son, 17 years old, has had Type 1 diabetes since age 11. He has always kept his A1C count between 6.5 and 7.8. Now however he is having readings in the 11 and 12’s. Our doctor suggested that he may not be taking all of his insulin. At 17 years old , I can’t see every injection anymore. He’s always cared about how he feels, has been a body builder, and does football and track. He’s still a good kid just doesn’t seen to understand there will be complications for this. Is this common for diabetics to get this way? Just tired of the regimen? Or could there be other heath reasons?

It sounds like your son is burned-out by the demands of the diabetes regimen. It is likely that he is missing many of his shots if his A1C has climbed so dramatically. Has he been testing to be sure he’s on the correct dose? Is it possible he’s missing shots to lose weight? You might wish to calmly discuss your concerns with your son and let him know that you understand how easy it is to become burned out with the demanding diabetes regimen.

Ask him how you might be able to help. You may be surprised by his answers. If you do not feel like you are having a productive conversation, then it is time for you to seek the advice of a professional. Ask your diabetes team for a referral to a psychologist or other mental health professional who has expertise in working with families of teenagers with diabetes. It is important to seek such support now, before your son gets trapped even further in the frustrating cycle of poor blood sugar control.

JWB

[Editor’s comment: Texas has several wonderful camps for kids with diabetes. While your son may feel too old for camp, it’s a great place to meet other kids with diabetes and learn how to live with diabetes in the real world.

JSH]