Kind of an off shoot from another thread - but I'm curious... We live in an economically deprived area, blue collar, high teen pregnancy rate, high alcoholism etc. etc. etc. I am surprised to read in the local paper about young people in their 20's dying from complications from diabetes. Our town is around 8000 people - so having 3 or 4 deaths in the past 5 years, was a little shocking to me. Of course I inquired and have heard they typically didn't take care of their diabetes.... I started a small support group - and was shocked to hear some of the A1c's of the other children (over 10) for extended periods of time. I did spend some time with the families, and I have to say I did not think the parents incapable of understanding diabetes, but rather a complete disconnect with the fact that they could help their child with the disease. It was more of an attitude of "it runs in our family so what can we do?". or "he's brittle, it's the worst kind so we can't do anything". One child is sent to a birthday party without insulin, and the mom tells me when he got home she guessed at how much insulin to give him - she crashed him and he had a ride in the ambulance. When I talked to her about the need to count carbs and bolus - it went in one ear and out the other. I have seen her at the fair with her child, eating cotton candy, corn dog etc. - no insulin. She'd give it to him when he got home. So when I see that a local 21 yr old died from Type 1 complications and I hear that he ran high for years and didn't take care of himself - well it makes me mad. Where were people in his life - raising the red flag of concern to somebody - that this child was in trouble? What is the school's responsbility to report consistently high numbers? The doctor's involvement? We have battled some tough numbers, stuck in the highs - then bottoming out...we are NOT perfect! But, in this day and age I will NOT accept the excuses for children being so poorly controlled, but how do you deal with a parents attitude that they are doing their best....and in actuality - that may be very true. Who steps in to help the child when what the caregivers are doing is not safe? One of the parents in our group had a daughter dx'd in 2nd grade - now in middle school and has had some complications from her D. After watching, and hearing from them - I know why she has complications. So it's just luck or fate - that some of our d kids get parents who understand the disease and manipulate insulin and food to give them a normal life? From what I have witnessed - I believe that some of these children deserve intervention. I am saying that these parents may absolutely love their children, but cannot wrap their heads around treating diabetes. I do feel strongly that I have an obligation to help any child in need - and to do so in a way that is most effective for the child. If helping mom and dad doesn't work, than shouldn't I be going to the next step? Why should a 20yr old die from complications, when he could have been helped in grade school, middle school and high school to understand his diabetes and be able to help himself. Am I wrong?