Thank you all. A lot of your really helpful suggestions are just not available in Egypt. No support groups, no family therapy. If you seek counselling in Egypt then you are often regarded as "crazy." Couldn't care less about how the society interprets it but this is why counselling is not easily accessible here (that is, if it even exists). My mother's own family made her ashamed of her diabetes. I agree that no eight year old should be put through this. But I was, it is a part of me and it has made me stronger. For years my grandparents forced my mother to hide her diabetes. I'm glad to have been the person to help her accept it and speak of it openly. But it shows you how the general culture is here about certain health-related issues. I do not think that there is any practical solution, unless I am able to find a trustworthy housekeeper to be with her, in the event I choose to go work on the field (which is something I really want to do). A part of me wants her to join me and my husband abroad, but I know there are a lot of complications that can arise from that. The political turmoil in Egypt has not helped much either. Crime is on the rise and the authorities have their hands full (with the wrong things if you ask me) to worry about that. Imagine if I hire a housekeeper who robs us or worse. I do want to know more though about others who are diabetic, type one and live alone. Surely it can't be too risky, right? Would switching to an insulin pump help at all? The culture doesn't help much here, either. the understanding of age and life in general is very pessimistic in the Egyptian culture. That's one upside if she chooses to join me if I go abroad - she would at least be away from this culture. I think it would do her good.