Haven't been on in a while but I'm thinking I need some help. We had the greatest pedicatric endocrinologist that has ever existed and he died suddely of a stroke a few months ago. Since then we have seen 2 other endocrinologist in the only other office in the state of Mississippi. The first doc is the most overbooked doctor in the state and we only got to see him because the new doctor was sick. He was fair and tweaked the settings on the pump(animas) a tiny bit. The next doctor was basically terrible - hates the pump and her nurse bad mouthed us to her -(we could hear it)! Just a bit of background- Skylar is almost 11 years old and she has been on the pump almost 2 years. Also, I am a RN and my husband is an EMT so we are not in any way stupid and we are very aware of the ins and outs of Diabetes and insulin etc. This nurse and doctor made us feel like idiots. They said we should in no way be letting Skylar be managing her pump or her care. Our old doctor was very into educating Skylar and getting her used to bolusing, counting carbs etc. All we do is assist her in counting carbs and allow her to put the carbs/boluses in her pump while we supervise! Is this not right? The only problem we have had has been her bolusing on her own at night after we went to bed - she would get a snack without us knowing but we mentioned that to her and they basically threatened to take her off the pump if she did this again and stuck their finger in our faces and made us feel like the worst parents in the world. Oh and, we haven't seen the doc in 3 months and we couldn't even get and HgbA1c because they were out of kits! Needless to say, we will not be seeing her again. Sooooo.....we got permission to go back to the first doctor- after jumping through hoops with the office manager at the clinic and WE CAN'T GET AN APPOINTMENT UNTIL DECEMBER! We were used to seeing our old doc every 6-8 weeks! He would analyse every number and make changes as necessary. The doc at the new clinic didn't change one basal setting and only changed the ISF! She is UNCONTROLLED! I just looked over her numbers and she hasn't had a blood sugar under 200 in days........ I got a referral to go to a new clinic in Alabama but that appointment isn't until October. So we haven't seen a doc since May......No A1C since March.......Blood sugars in the 200s to 400s and NO ENDOCRINOLOGIST! So, as I said, I am a RN but I have been spoiled by a great doc who made all the pump changes. I guess I'm on my own now right? Where do I start ? basal? ISF? insulin/carb ratio? Her numbers are all high and there is no pattern. Please help! By the way, the MDs around here won't touch her pump! I have tried to get some advice. I am going to the local clinic to get an A1c I guess. Sorry so long.....just very frustrated!