insulin/breakfast, gereric 3-hour Ritalin, morning school, insulin/lunch, more gereric 3-hour Ritalin, afternoon school, snack/
insulin, more gereric 3-hour Ritalin, karate, dinner/
insulin, snack, bedtime. If we deviate from this schedule in the least, it throws everything off.
Also, his ADHD hyperactivity increases dramatically with high blood glucose, significantly affecting his ability to get along with other people. Add that into normal teen emotional issues, and you have a real mess.