Thanks for the reply, Liza! We are seriously considering counseling, not just regarding diabetes, but also other issues we have with our son. :( Hopefully, it will help our family get through some tough times and we'll come out better on the other side, though.
The insulin mix is a combination of fast acting and slow acting insulin, so that when a shot is given before a meal it provides coverage for that meal, plus throughout the day. The shots are given at breakfast and dinner only, so nothing has to be done during school. We did end up taking our son off the pump (after much discussion and his consent) a couple of weeks ago. In a way, it is a huge relief to him. He does not have to remember anything. We ask him to test and bring him his shot before breakfast and dinner. The rest of the day, he eats however he wants to and does not have to remember to bolus or think about counting carbs with each snack. He is supposed to test at lunch and do a correction bolus if needed, but if he forgets or is self-conscious it is not as big a deal now. What surprised me most about making this switch is the almost IMMEDIATE improvement in his blood sugars. He literally went from waking up with a reading of 350 one day to a reading of 90 the next. Very rarely does his sugar get above 200 now - it was almost constantly over 250 before and was often close to 400. (Last A1C was over 12!!!) I will be very curious to see his numbers at the next doctors visit!
I'm just looking at some of your other questions....he does know in his head all of the risks associated with diabetes and also knows a few teens with it. I just think he feels really bad about having diabetes and about some other things, and that not doing what he needed to was a form of rebellion against me and also an expression of low self-esteem....
I hope that the counseling will help him to value himself more and that he will want to become more responsible with his health care and other aspects of life. Being a teenager is hard and diabetes makes it much harder!