Well, just because he's been unable or has forgotten about a few appointments (the letters do get sent out sometimes about 6 months in advance) doesn't mean they don't take it seriously! They may be absolutely fine have great control with a lot going on at the minute you don't know and it's not really fair to judge! The only reason I go to any appointments is to make sure my driving license is kept valid etc I don't relly need to know my HbA1C as I can have a pretty accurate guess from my meter readings, otherwise feeling fine, going doesn't help my control or teach me anything. It just lets people tick some boxes.