By the time 14-year-old jacob tuls got home, he was sick enough for his mom to notice. he seemed shaky and confused and was sweaty even though the fall weather was cool. "jake, let's get you a glass of juice right away," his mother said as calmly as she could. she was all too familiar with the symptoms of hypoglycemia brought on by jake's type 1 diabetes. ever since he was diagnosed at age 6, she had carefully monitored his insulin, eating, and exercise. but now that he was in middle school, the ball was in his court, and it really worried her that he often seemed to mess up. "yeah, i know i shouldn't have gone so long without eating," jake muttered once he was feeling better. "but you don't understand. i don't want to be different from the other kids." before he could finish, his mom was on the telephone to the school nurse's office. jacob needed to inject himself with insulin three times a day. he knew what happened when his blood glucose got too high or if he didn't eat on schedule and it got too low. but when he was on a field trip with his friends, he hated to go to the chaperone and say that he needed to eat something right away. and he hated it when some kid walked in while he was injecting. his mom had made arrangements with the school nurse for him to go to her office to get some privacy, but whenever he didn't show up between fourth and fifth periods, she would come into the classroom to get him as if he was some kind of sick loser. he was tired of having this disease, sick of shots, and angry that he could not sleep late and skip meals like other kids. he made a face at his mother as she talked on the telephone to the nurse, and slammed the back door on his way out to find his friend joe. knowing that missing an insulin injection could cause a diabetic coma and possibly death, why do you think jacob is not more conscientious in his self-care