JR is 13 years old and has type 1 diabetes and their time in range is usually less than 50%. JR’s mom finds empty soda bottles hidden in the back of JR’s drawer along with some candy bars.
JR’s mom is very upset about this discovery and asks you how to get this “situation under control”. What is the most appropriate response?
- Empathize with her and acknowledge that non-adherence is very common in this age group.
- Gently ask her if she has noticed any other signs of disordered eating.
- Explore if they have established clear guidelines for daily carb counting.
- Recognize her feelings and explore problem solving strategies.
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