The overall objective and Primary Aim of this Limited Competition: Small Grant Program (R03) is to address the critical need of identifying and decreasing fear of hypoglycemia, which will be accomplished by conducting a pilot randomized clinical trial to evaluate the efficacy of Blood Glucose Awareness Training, which has been adapted for, but never evaluated in adolescents with Type 1 Diabetes (T1D) and their parents.

Inclusion Criteria:

• adolescents aged 10-17 years and their parent(s) or legal guardian;
• T1D duration >1 year;
• insulin pump use >6 months;
• agreement of both parent and adolescent to participate in intervention sessions;
• elevated scores on the Parent Hypoglycemia Fear Survey - Behavior Subscale.

Exclusion Criteria:

• developmental disability or reading disorder that prevents understanding of the intervention materials; and
• non-English speaking adolescents and parents.