This is long, bear with me. My son is 8yo and was dx last august so we're still fairly new to D. DS is pumping now (since June) and was on MDI when he was first Dx. I think we're doing a pretty good job managing his care and he amazes me every day, but something has come up at work and I've decided to intervene, but I'm struggling with resources and what to do next. I'm a career firefighter and our department sponsors a group of FF Explorers that get FF training and do ride alongs on our rigs. They're good kids (16-20yo give or take) I met one of them through a family friend several years ago when he was about 16 and had just been Dx with Type 1. Well, he's 19 now and he's in our explorer group and showed up for a ride-along on our rig last week. He's at least 40 lbs lighter than when I saw him last. After asking around I found out he's been hospitalized several times in DKA over the last several years and I'm pretty sure he's not doing much for his care right now. He really loves the FD and would love nothing more than to do this for a living, but at the rate he's going I doubt that he'll live that long. I managed to get out of him what kind of regimen he's on and I'm not that familiar with it. He has no real help in managing this, doesn't count carbs, seldom tests, and has no insurance and very little money for the supplies and insulin even if he wanted to do a better job managing his D. He has no endo, because no one will see him without insurance. The last direction he got in his care was when he left the hospital several months ago. I confirmed his insulin, when he takes it, they have him taking 40U of Novolin-N and 40U of Humalog in the morning mixed and 40U of Novolin-N in the evening. How can this be? I want to help him, but I need some more info on how he should be doing this. Shouldn't he be taking humalog or Novolog at his midday meal and to cover snacks? I think we could help him get close on I:C ratios and his correction, but I can't figure out how he's not crashing when he takes the 40 units of humalog in the morning, am I missing something? I figured If he stayed conservative we could get him in better shape till we could find an endo that would see him. I figured anything would be better than him walking around in borderline DKA all the time. I'm open to any suggestions. I think he'll listen to us and even if he doesn't I don't think I could live with myself If I didn't try to help him. I have great insurance and my kid's endo is one of the best in our area. His CDE has us page her even when she's not working. I feel like he's had the best care and we've gotten the best training available. This other kid has a hell of alot stacked against him with very limited resources. He needs help.