I am writing because we are having increased difficulty getting my daughter's blood sugar in control. She is 12 and on the pump now for about 1.5 years (diabetes for 2.5). I am a nurse and when I was managing her diabetes we had her A1C around 7. Now she is more independent (changing her sites, making lunch ect) but her 3 month blood sugar average is..... 208!! I am afraid to go to the diabetes center for her apt!! I feel like such a failure that I am not able to stay on top of this. I work 50+ hours a week and with the pump it is very easy to lose track of things. I couldn't even say the word diabetes yesterday without crying. I got her hooked up with Medtronic's on-line diabetes mgt system so hopefully we can download her data weekly and get back on track. I hope 3 months of a 208 blood sugar hasn't done damage to her kidneys..... How do you stay on top of things with the daily diabetes grind and what on earth do you as the teenage years approach????