I was watching my 11-year old son's baseball game this weekend. There is another T1D boy (John), dx a year after my son, on his team. Game ends. A mom brings cupcakes for the team to celebrate her son's birthday. My son is first in line, would have taken two if they allowed it. John is off to the side not participating. I mozy over to him and ask, "aren't you going to have a cupcake"? He says, "no, it messes up my blood sugars too much" (meanwhile John's mom is munching on a cupcake and told me he made the decision on his own). Not in a million years would my son make that call. I'm okay with the occasional cupcake, but I'd really like to see my son occasionally sacrifice a crappy food to promote his health. I often read of kids on this site who like John, seem responsible beyond their years, and kids like my son who have little regard for food choice consequences. My son is bright, but a tad ADD, and very much lives in the present. Forget to bolus? "Whatever". Pod comes off and he doesn't replace it? "Oh, I didn't think it was a big deal". You may have read about our recent sleepover debacle. I know D management (I:C ratios, temp basals, exercise, fatty foods etc ...) can be taught. My son knows this stuff pretty well. But can D responsibility be taught? Or at least successfully encouraged. Instilling him with fear of long-term consequences won't work. He can't think out beyond 24 hours. On the surface A1C rewards (iPhone 6 instead of the 4S) seem like a good idea but my gut is telling me will just cause more problems. We do most the D heavy lifting which I'm fine with, but he's getting older and spending more and more time away from us. What has worked for you in successfully encouraging D responsibility? I know this can be the $100k question for the tween/teen years, but it's starting to become an issue and I'm just thinking out loud. Any thoughts are appreciated. Thanks.