A 14 year-old female is currently on insulin pump therapy. It is noted that her hemoglobin A1C is 14%. She insists that she boluses for her insulin based on suggested insulin/ carbohydrate ratios and insulin sensitivity factors. What is the MOST likely reason for her high A1C? A. The insulin/carbohydrate ratios for meals need to be increased. B. The insulin sensitivity factor needs to be decreased. C. Her infusion sets need to be changed more frequently. D. She forgets to bolus for meals and snacks The above question is a sample question from a CDE exam, and it is just rubbing me the wrong way. There are just too many variables at work with a 14yr old female, to assume she is fibbing to you is the MOST LIKELY reason. REALLY?