This is great! Thanks so much for sharing. I've been trying to tell people this is an issue, and I feel a lot of times out of range A1cs are a result of burnout and/or depression. It's not all the time, but I have noticed when people are most likely to be depressed, their A1cs are out of the desired range. I don't know if the depression causes them not to care and their blood sugars are not as under control as a result, or if high blood sugars for whatever reason causes depression. Whatever the case, I feel depression is rampant within the diabetes community.