Manage in the Moment

Here is a quote from a d-parent I know:

“Our daughter has had type 1 diabetes for 6 years, her A1C runs as high as 8%. We’ve recently been using the insulin pump but can’t seem to control or balance the blood sugars during activities or after changing the infusion site. Can you advise us on how to adjust the pump?”

Ok, reasonable and common concerns I’ve heard for years. And I certainly understand the intent. But the focus might better be placed somewhere else besides primarily on the device. Patients and parents often tell to me they want to get themselves or their child “back in control” of their diabetes.