Our doctor was asking us to upload once a month. He is a very nice guy, but given the amount of effort we put into managing Matt's diabetes, I never felt his A1C mirrored our efforts. He always hovers around 8, usually slightly below. Considering he tests very frequently and I wake up several times each night to test, I always hope for better. One red flag for us was that Matt rarely had a night where I didn't have to give a correction or give carbs at some point in the night. This was the case even after he had his pump settings tweaked by the doctor. The other red flag was that the doctor never once asked us to do basal testing. He said he could figure things out simply by looking at the data from the pump. With that said, we just hired an outside consultant to manage things for him. So far, we are very happy. Although basal testing is a real drag for a kid, we had 2 nights in a row where his numbers were relatively steady through the night and I didn't have to make a correction or give him carbs. This whole experience is making me wonder....Are you happy with the service you get from your doctor? Does he or she do basal testing with you, and do you feel like you get feedback in a timely manner? I'm glad we found an independent consultant, since even though it costs money out of pocket, I like that I can do all of this testing in a timely manner and communicate with the person daily throughout the process. I feel like we are making some excellent progress. I am going to continue to go to the doctor for checkups, but if we continue to be happy with the consultant, I am sticking with him for the long haul.