TABLE 2.

Strategies for Gradually Performing BGM by Developmental Stage (According to B.T. and C.T.)

Task	Preschool	Older Elementary School	Early Adolescence	Later Adolescence (Current)
General BGM	• Began helping with BGM by inserting strips into the glucose meter (∼2 years of age) • Performed glucose checks with supervision • Injections given by parents • Got first pump (∼7 years of age); code on it, so no accidental doses • Once in school, would go to the nurse with a buddy to check blood glucose twice daily • Focused on set times to check blood glucose at school, camp, and home • Checked blood glucose 8–10 times per day, parents checking or reminding (stop activity or leave during class to check) • Approached teachers to ask to go to the nurse • Worked on identifying low and high blood glucose levels and how they felt to us	• Carried a “diabetes snack bag” with juices, meter, and snacks • Continued to carry pump in a fanny pack • Began checking blood glucose without supervision • Began programming pump independently at home; at school, the nurse would check pump settings • Went to nurse twice daily during class and another time at lunch for blood glucose checks • Understood the differences between feeling high and feeling low	• Began going out more; would always carry a backpack with supplies • Began to play organized sports; talked to coaches about what we might need to do on the bench or in the locker room • Talked to teachers about what having diabetes meant and what we would need to do	• Essentially complete independence with BGM • Still rely on parents to order supplies • Both carry a meter around in backpack at school or in the car • Check blood glucose before driving • When sleeping over at a friend’s house, text parents glucose result before going to bed