I'm not terribly active here - maybe I should be, as I'm sure many of you can relate to some of these unique issues. I'm really REALLY struggling here. Will try to keep this short, but it's not going to be easy. He's been diabetic essentially his whole life (he's nearly 12), pumping for 3 years now. We've been dealing with years of behaviour issues, with his ADHD not helping matters, but meds for that have at least helped his school experience (not looking to debate the merits of ADHD meds, but laying the foundation here). At his most recent checkup, his A1C went from 7.7 to 8.8 in 3 months. Stealing and hiding food has been an issue for years, but particularly in the last year or so. His behaviour when he's high is brutal: rude, disrespectful, foul language, hateful... He's not a perfect angel when in the normal range, but he can be a pretty great, lovable kid. Over the years we've spoken with teachers, principals, psychologists, urologists, dieticians, counsellors, etc. You always hear that consistency in parenting is important, but that's tough when you constantly have to move on from things that don't work. Dealing with him has been a constant preoccupation, and the stress of the irresponsible behaviour and disrespect is very hard on our marriage and life in general, and not fair to our daughter, whose behaviour is comparatively angelic. Today was exceptionally bad, but not unprecedented: while shopping for a birthday party, we had yet another talk about, "Don't steal food, but if you do: bolus. But please don't do it. But bolus if you do..." He agreed that it would be better to bolus (therefore leaving evidence), and that I would agree not to come down too hard on him when he's caught. Post-party, we had some behaviour issues that prompted a blood test. 24.1, which helped explain it. A few minutes later, when trying to give him an EzBG, I noticed a significant amount of insulin on board. I dug deeper. He'd already given himself an EzBG of 4.5 units, ignoring the IOB that indicated that it should have been reduced to zero. The history showed that, just prior to leaving the party, he'd given himself two boluses of nearly 3.5 units each, 7 minutes apart, with no prior blood test. This was apparently for a couple slices of pizza, and then cupcakes and ice cream, eaten a half hour earlier. They were not EzCarb boluses, so he was just guessing at the bolus (why not guess at the carbs? He's actually pretty good at estimating). So he had, in my opinion, too much insulin and then too much of a correction (assuming he didn't eat more than he's admitting, which is very possible). So for the last hour or so he's been raging in his room, with a few defiant escapes, vile tirades, and escorts back. Every sentence out of his mouth is dripping with venom. Eventually things will settle down, he'll get all lovey-dovey again, and try to make small talk like nothing happened. But it DID happen. It happens a LOT. It happens so often that in moments of anger/despair, I've told my wife (privately) that I just want him out of here. It's hard to say/hear, but at those moments that's how I feel: I want his two weeks away at Diabetic Camp to happen much more often. After years of this, it just feels that I'm wasting my breath on him and it's hopeless. I have these strong negative feelings about him, which I instantly multiply back at myself and my wife for clearly failing so badly. Things I know I can do: no unsupervised outings, food under (figurative) lock and key. It's not all blood sugar-related, but I know it's a factor, and that's where I'd like to draw on the experience of other parents. Thanks, and sorry for the length. There's just SO much more... Had to get it out.