<p>A few more things about the diabetes, after looking at some of the thread…you might want to read a couple of books on the subject, of join a support group for families (Americans Diabetes Association).</p>
<p>One, even if his diabetes was very active, most likely he would take pills, not do insulin shots, because he has type 2. </p>
<p>Second, if he does have a blood draw (HgA1c) it will show a 3 month average, and there could still be some fluctuations in blood sugar, especially if he is eating fast-acting foods like sweets, bananas, rice, bread, potatoes. Believe me, and I have been networking with other families dealing with diabetes for 17 years now, these fluctuations cause mood changes, even violence.</p>
<p>Third, weight gain does not cause diabetes, in and of itself: plenty of people can gain weight and not develop diabetes. The corollary is that his diabetes may not entirely disappear at a lower weight, though obviously there have been improvements.</p>
<p>You keep mentioning high insulin levels. Didn’t the MD tell you the average blood sugars? High insulin levels cause lows, not highs…I don’t know but I would imagine the highs of type 2 would bring higher insulin levels (and sometimes some low blood sugars), but it is strange that you never mention “high blood sugars,” only “high insulin levels.” Did he have hyperglycemia at all?</p>
<p>He should be testing his blood sugar periodically, no matter what. For the couple of years that he has been under 18, and had diabetes issues, you as parents have to make sure this happens. An anesthetic cream like Emla can be used with needles, and there are treatments like hypnosis, cognitive behavioral therapy, and desensitization, that help with phobias. The diabetes will become an issue again, and once he is 18, you have lost all legal clout. Buy a meter, and tell him that if he wants to live with you, he has to deal with testing - and provide any help and support to enable him to do that.</p>
<p>The fluctuations in mood, if not due to blood sugars, combined with the fluctuations in interest, the irritability and the rages, might indicate bipolar illness. Is there any of that in your family? This is way overdiagnosed, yes, but it does emerge at this age.</p>
<p>He is still under 18 and you can force him into treatment if he threatens to or does hurt himself or others. Destructive rages qualify, if he is still having them. You can make an appointment with a psychiatrist or clinic (some hospitals have free studies which screen people very thoroughly, so if they say he is bipolar, it would be meaningful), and tell him that his going to college is conditional, based on whether or not he goes to the evaluation and cooperates.</p>
<p>The main problem sounds like he is in control. If you do not pay for his school, will he live with you? What will happen then?</p>
<p>You won’t have much more time to intervene. Once your son is 18, you can only tell him that he needs to leave the house and live elsewhere until he agrees to therapy, health care, and working toward some goal, which might or might not be college right now. You have no legal right to do much of anything, including talking to docs. It is hard to kick a struggling kid out.</p>
<p>Anything I’ve written has been hard-earned through experience, unfortunately, though our situation has turned itself around thank heavens. Good luck.</p>