In the state of Washington, the state Health Technology Assessment (HTA) Program is reviewing the "... efficacy, safety, cost, and health impact of glucose monitoring on clinical outcomes among patients with diabetes." Several "findings" in a paper commissioned by the HTA hint at severe restrictions in funding for episodic glucose monitoring for children and warrant serious concern among families living with type 1 diabetes, including: "The effectiveness and optimal frequency of self-monitoring of blood glucose in patients is controversial. Several lines of evidence have suggested an association between glucose monitoring and increased discomfort, inconvenience and worsening of depression scores with regular self-monitoring, along with a lack of clinically relevant improvement in diabetes-related outcomes in patients who self-test." (page 8, final full paragraph) "... for ages 0-5 and 6-12, beyond one test per day, there was little improvement in A1C." (page 116, top of page). Families living in the state of Washington are strongly encouraged to contact their elected state officials and comment on the safety and wisdom of limiting children with type 1 diabetes to one glucose check per day. Relevant documents for review include: Washington State Health Care Authority, HTA Program FINAL Key Questions and Background Glucose Monitoring. Glucose Monitoring: Self-monitoring in patients under 18 years old Appendices: Glucose Monitoring: Self-monitoring in patients under 18 years old.