Sounds fun doesn't it? New Endo appointment today. The Dr. is very intelligent, knows his stuff and has a ton of experience with kids, and adults. Pioneered pump therapy as part of his early training. Anyway, his style didn't mess well at all with my 15 year old daughter. She began to cry about 2 minutes into the appointment. She thought he was criticising her carb counting (he was) and overall managment of her diabetes (he was not) and as a result she shut down. Bottom line is her A1C level of 8.3 is down from 8.5 in June, but she's got some spike highs as a result of not counting enough carbs. He made a suggestion to try for a couple weeks and see if we can't knock off some of those peaks. My thought is that she knew her highs were going to be noticed and commented on going into the appointment. The anxiety around seeing a new Dr that she's heard isn't very nice to kids (not true), and her knowledge that she's been silent about these high BGs just overcame her when he pointed it out. So, bigger issue here is, how can I help my high achiever not see corrective suggestions or requirements, or questions even, as criticism? As background, in our family I am the talker and the emotional one. She's worried about her weight (not an issue but she's critical of gaining weight) so she avoids bolusing enough sometimes. Dr. pulled me aside after the appointment and asked me what I thought was the cause of MA's reaction. We talked and he asked if she's ever spoken with a professional about her feelings around her condition. She hasn't, and wouldn't without a fight. Just venting, but I am worried that by being silent about diabetic issues (either because she wants to just be normal, or wants to ignore it) she won't be as happy and well-adjusted as life goes on for her.