More time is spent with friends. The older teen is away from the home more and stays out later with friends. Experimentation with alcohol at some point is common. Teens generally do better if they get extra help, particularly with insulin dosage. Parents should come to the clinic, although the staff may request to see a teen individually to discuss issues that may be difficult to talk about with parents present.
Many teens dislike the chore of writing blood sugar results in a log book.
Experimentation with drugs upsets schedules and diabetes as well. Most people who are going to smoke will begin prior to age 20 years. Usually, if the peer group does not smoke, the youth will make a similar choice. A belief in God and church or synagogue activities may help guide the teen, and continued involvement with parents can provide stability, limits, love, and support. Regular clinic visits at this age may help the teen realize that diabetes care and responsibility are important.