Management of T1 in particular is NOT an exact science. We are performing the work of an organ (around the clock) that we were not meant to perform. This isn't about compliance, it's about survival. And I absolutely freaking HATE The term "compliance." The last time I had an endo make reference to that word, I asked him if he'd like to do what I do for just 40 hours, to count every freaking carb and take insulin and do all this stuff while trying to hold down a job or go to school or live any semblance of a life. Sometimes I feel like endos think we do this full time or something!!
All the points you make are spot on. Honestly, I'm at the point in my life where if I have an endo pass judgment on me or even hint that I'm "non compliant," I will walk out of his/her office, refuse payment, and find another practice. I deserve to be treated with respect and not judged. And so do you!