I'm a mom to five kids (3 bio, 2 adopted), Viki (10), Ayden (9), Elijah (7), Denny (6), and Sadie (2). My oldest daughter, Viki, has Down syndrome and Type 1 diabetes. We were preparing to travel to Eastern Europe to meet Viki and Denny in Sept./Oct. 2012, when we received an email from our adoption agency that Viki had been diagnosed with Type 1 diabetes. (The orphanages only send updated medical reports to the government annually, so our agency was notified by the orphanage director when she learned a family was coming to meet Viki.) The news was definitely a shock, but I have friends with Type 1, and I have friends with older teens with Type 1 and, to us, that was no reason not to proceed with the adoption. She received her diagnosis in July 2012. Fast-forward five months from meeting them, and we're now just 3 weeks home with the kids, and in the middle of not only the transition into a family, but also a big learning curve with diabetes management, new medications, etc. We met with a fantastic endo the week we came home, who helped us work on a management plan. All Viki's medications changed, from outdated and ineffective insulin no longer available in the US, and no plan or way to know how much insulin to give, to Humalog and Lantus, with a plan that makes sense and is working. The endo and I have spoken every night, and is adjusting her Lantus dose to a point that's right for her. Viki doesn't recognize highs or lows, which makes it difficult for me, because it's hard to tell if your child is low, pouting because "share" is a four-letter word, or just tired. Because of this, and because fighting a 10 y.o. over carbs at night is just not fun or conducive to bonding, we've adjusted her Lantus down by a couple of units, and already I feel better. We also met with a pediatric ophthalmologist, because Viki has already begun to develop peripheral cataracts, as well as dozens of other small occlusions in her eyes. He was concerned about Diabetic Retinopathy, and believes we'll be looking at surgery sometime next year, after she's had a chance to adjust to family life, a new language, and just settle in. So, that's my big life change in the past few weeks, and I'm eager to read more posts from all of you, especially regarding cgms and pumps, both of which the endo believes would be wonderful tools for Viki, and eager to read about your experiences with having a child with diabetes.