Diabetic student, help!

[KSM-RN]

Hi again to all of you smart peeps! I have a middle school diabetic that has consistently high sugars. He usually is running in the high 300's. Most of the time he has moderate-large ketones. He has gone several times because he is symptomatic. He missed 4 days one week and told me his ketones never went away. There has also been times when he has a BG of 300-400 and "oh I'm out of ketostix". Or "I feel low" and I tell him to check he sugar..."oh I'm out of test strips". I can easily get ahold of family and they will bring supplies but he ends up missing tons of class. Today he had a high BG and "I don't have insulin left". I told family that I think we need to have a meeting. His teachers have been calling me asking about him when he is out of class, so I suggest they attend as well. There is a lot more details but I am not getting into but basically I don't think they ever communicate with endocrine. He does have an appt scheduled but all of my other students are on the phone tweaking daily insulin with consistent highs/low/ketones. I've been working so hard helping him count carbs, explains ect...but never changes. Thoughts?

[KSM-RN, BSN, MSN, RN]

Sorry for typos...I was responding from my phone and as I am re reading, I noticed a few :)

[SnowyJ, RN]

Yeah, my first thought is non compliant/cheating with carbs. I have seen a number of teens at the MS and HS do this.