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A 14-year-old girl was diagnosed at age 6 with type 1 diabetes mellitus. Both of her parents have been actively involved in her diabetic management. She recently gained 5.8 kg. At the time of presentation she was 174.2 cm tall and weighed 73.9 kg. While she was only moderately concerned about her recent weight gain, both her parents showed much more concern about her weight than about her blood sugar and vehemently objected to their daughter being interviewed separately, so that it became important to establish who the primary requester of treatment was. A very careful and delicate approach was chosen in which the adolescent was recommended to develop a regular exercise and eating regimen with participation and support of her parents.
Jay
MS
UTMB Dept. OB/GYN, 301 University Blvd., Galveston, TX 77555-0587, USA.
Morse
P
Rickert
VI