OK, i'm not totally clueless , I have had gestational diabetes with 3 pregnancies and insulin treatment for 1 short month of that time, but I want to make sure my scout is safe. I have a scout who was diagnosed with Type 1 Diabetes 2 years ago. She is now 10 and her mom feels she can regulate, administer and care for herself on her own. Previously the mom has accompanied us on our trips, but now she feels it is the girl's responsibility to take care of herself. We have asked mom for specific instructions of what to do and when. I was given a list that says: "Correction for snack- Over 200- .5 units of Novolog, Over 300- 1 unit of novolog, over 400- 1.5 units Novolog". No joke, that is all. We went on an overnight trip last month and the girl eats whatever she wants and only sticks to her set # of carbs, proteins etc if you ask her "are you supposed to be eating that?". Her answer is usually no, but without a set script I have no idea what portions she is supposed to have and when. We made constant phone calls to mom because at night her blood sugar was 352 before snack, she woke up in the high 400's and within 1 hr of breakfast and morning meds she was 50. According to my first aid training BOTH of those situations were an emergency and we should have gone to the hospital, but both girl and mom say it happens all the time. She continued to be all over the place the whole day (at Disneyland of all places) and everytime we had to call mom and ask for directions. Mom says her pancreas still works sometimes and that is what causes the fluctuations. Watching the girls actions and my own little bit of knowledge about diabetes tells me she really isn't ready to manage this alone and I don't feel comfortable with the current situation. Next month we are going to a camp that has no phone service and no RN on staff. Our Council does not have a policy on medical issues like this. How (and what) do I need to ask mom in order to be able to take care of her daughter properly? I know I need a specific list of her diet (ie how many servings for each meal). I need a much more comprehensive listing of what medications she gets and when she should get them. I have a general idea of what constitutes an emergency and what to look for in her behavior, etc, do I go by mom's rule of thumb or my first aid training? Should I insist mom go with us? (she doesn't hover, she usually reads a book or stays at a hotel nearby and only comes to the camp to administer the meds 3 times a day..) I really want the girl to have the same experience as the other girls but I also don't want her to die in my care!