Readings under 200... This could mean that he is hyper level a lot and losing weight because of this...it could mean that your grandson is possibly running too high and doesnt want to change his insulin doses because of not knowing how to, not being bothered, or because of being scared of hypo's.
It may be that he is just doing a lot more activity and not eating enough?
Type 1's typically lose weight prediagnosis and then will balance out their weight as they get better health and regime's.
It is very hard as parents/grandparents to allow an 18 year old to self manage diabetes as they will have concerns that the child is actually managing it.
I'll bump this up and hope that somebody else here can offer some more advice...
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