Table 4.

Quotes Related to Environmental Influences (School, Home, Health Care, and Others)

School: food choices	But at school … the vending machines, there’s like one on the other side of school that has … low-carb   options … others have potato chips, pancakes, doughnuts, honey pie, candy …
	Sometimes it’s hard at school, the junk food and stuff you don’t want. We can leave campus sometimes to go   eat. Sometimes I have to leave to get something healthy.
School: role of adults	When I first got diagnosed and I went back to school the next day my teacher made me stand up and tell the   whole class about it and stuff and I really didn’t want to … I wanted to run out of the classroom.
	A lot of teachers don’t see why you need to leave early. I had a sub in my English class and he would not let   me leave, so I called the nurse and she called the teacher, and she called campus security to get me so   that I could take my shot.
	I’m in band and most of my friends are … so whenever you go to events or even after band, we go eat, we go   to McDonald’s, Burger King, Wendy’s, or Hooters.
Home: role of parents	My dad, he annoys me, he would eat through the things I can have and can’t have; for example, he’ll go   through all my sugar-free stuff so I’ll have nothing to eat.
	She always manages to find my machine. I try to hide it so she can’t find it, but she finds it anyway. I don’t   know how. It just seems like she knows where I put it or she’ll be watching me or something.
Health care	Dr. X, he treat me like a son, you know. He gave me his home phone number to call if I got sick so he could   tell me what to do.
	I wish my doctor would like, I don’t think he’s like diabetic, but he tells me stuff that he don’t really know what   we go through. Some doctors really don’t know.
Restaurants	It’s harder at a restaurant because there are so many things that I know I shouldn’t eat, but I do.
	Some restaurants, a lot of restaurants have low-carb things that makes it easier.