Robert is an 18-year-old young man with type 1 diabetes who was noted to have a pattern of increasing A1C at his most recent diabetes clinic visits. The certified diabetes educator reviewed his logs and recognized that he did not calibrate his continuous glucose monitoring system regularly. He denied having any management-related concerns, but when he met with the pediatric endocrinologist, he admitted to avoiding carbohydrate calculations and “winging it” for insulin dosing, which he attributed to “not wanting to deal with his diabetes right now.”
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