Parents worried about immediate negative outcomes of poor teen self-management decisions, including severe poor teen hypoglycemia and death. These were often mentioned in the context of transition to college and independent living Five parents mentioned fear of death. One teen did, as well, while her parents mentioned nocturnal hypoglycemia more broadly. This shared concern likely stems from a prior hypoglycemia-induced seizure. As in previous research with parents of younger children, parents and teens were stressed about unanticipated swings in blood sugars, which required constant vigilance (Sullivan-Bolyai, Deatrick, Gruppuso Tamborlane, & Grey, 2003). Parents maintain constant vigilance about blood sugars and other outcomes, while also weighing the short- and long-term implications of manage- ment decisions. Parents' concerns about long-term negative outcomes were linked to observing complications in adults with diabetes, and affected responses to ineffective teen management. Parents concerned about teen self-management attempted various remedies, from resuming responsibility, to a philosophical view of these experiences as part of the trial and error process. Although less-than-optimal teen self- management is developmentally normal, the profound implications (Lambert & Keogh, 2015; Wang et al., 2010) can add to parents' anxiety.