Jenny, I thank you for your Blood Sugar 101 site and I definitely will buy your book. A lot of the goals that are necessary for us to reach seem unreachable, though. So the stats you post, while true, are somewhat depressing. My niece is 11 years old and has Type 1 diabetes. I believe it may be possible for us to keep her blood sugars under 105 overnight and fasting on the nights when growth hormones do not interfere if we continually monitor to prevent lows. I believe I can reach a 150 or 160 goal two hours postprandially a lot of the time; however, if we do that she will usually drop further and we need to give a few more carbs in the third hour to prevent lows. This is because, despite prebolusing, we need more insulin up front to reach a goal of 150 two hours postprandially, and that would be more insulin than she needs for the meal. If sensor is on (she does not want to wear it at present) or if we are at home and test the third hour, we can do that. I can't reach a 140 at highest spike, and then drop to 120 in two hours. I don't even know if adult Type 1s can do that. She is growing so we can't limit carbs, other than the restrictions given by the endo, nor would she let us. She eats about 200 grams a day and is very thin. I want to prevent damage from occuring, yet it seems the Type 1s are in a Catch 22 type situation. Any advice would be much appreciated. We do Breakfast 35 grams, Lunch 40 grams, Afternoon snack 60 grams and Dinner 65 grams, approximately. We mix the glycemic index so she has some fast glycemic along with slower digested foods. We do balance fat, protein and carbs.