We have been at this for almost 5 year. Our endo said recently "You guys work really hard and are doing a great job." And it's true that we work REALLY hard at this. Ava wears a pump and Dexcom, we test overnight every night, we use combo bolus's, temp basals, a scale, every trick in the book. Yet Ava has not broken through that magical threshold of having and a1c lower than 7.5 and it frequently fluctuates up higher than that. I know this is an acceptable number for a 6 year old, but I also know that there are others on this forum who have much lower a1cs, and I can't figure out how. So if you (or your child) has an a1c of lower than 7.5, would you please be willing to share what you think the secret of your success is?