APS Type 1

Dr. MacClaren, Carolyn Gershenson gave me your name a long time ago and raved about you. I've known her for many years from our Westchester diabetes support group and she's been a friend. We've been going to Columbia since the Naomi Berrie's inception, but perhaps it's time for a change. I hope you can help us. My 14 year old daughter Kelsey has been type 1 since she was 5 1/2 and on an insulin pump for 7 years. Her HA1cs have been consistantly on the higher side--in the 8s until a year ago. She has a bad fear of lows, and I'm not realy sure why. For the last year she has consistantly not bolused enough, or sometimes not at all and lets herself run consistantly high. She's an athlete and 5'4" and 106 lbs. She lies when she tells me bg numbers since she knows I will react. Now I'm scared as nothing I say or do seems to be getting through. I've tried monitoring her in every way I know how. Tried scaring her, tried clamping down thou! gh I don't want to make food the issue, and she doesn't hear me. The HA1cs have been 13 and 14 for a year now. She is not understanding the seriousness of this or that her body and mind would feel better if it were to improve. At this point I would be thrilled with straight 200s!!I am wondering if there is some kind of intervention that can be done. I want her to help herself and also want to understand why she is doing this so we can start the process of changing it around. Do you have any suggestions? Please help!!