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Laura Plunkett says

At nine years of age, kids are starting to want independence and to make their own decisions, but they don't have the cognitive ability to understand the full impact of their choices. I suggest bringing your daughter back to her endocrinologist. Her doctor could talk with her about the seriousness and importance of the actions she takes with her pump. Perhaps you could work as a team to give her more independence (pushing the buttons, helping with the math, counting the carbohydrates) with the understanding that you or the school nurse are always there while she does it.

Gary Scheiner says

That's pretty serious stuff.  Sounds like she needs both some diabetes education and an evaluation by an expert in childeren's mental health.  I'd lock the pump buttons and do all programming yourself until that happens.

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