Promoting Adolescent Investment In Diabetes Care

Inclusion Criteria: * \>12 and ≤18 years old * Diagnosed with type 1 diabetes ≥12 months * Speaks English fluently * Cognitively able to participate in incentive program and complete surveys. * Have access to a mobile phone to receive goal-obtainment and incentive updates * Receives diabetes-related clinical care from Seattle Children's Hospital Diabetes Clinic * Have the ability to upload medical data remotely from home per usual care processes employed by Seattle Children's Hospital Diabetes Clinics Exclusion Criteria: * Patient is already participating in another research study to improve diabetes self-care and/or glycemic control * Baseline daily average glucose checks are greater than 4 checks per day OR baseline daily CGM active wear is greater than 70% of the time AND baseline average insulin bolus score is greater than 3 times a day OR they do not use an insulin pump (or are unwilling to use a smart insulin pen) * Patient refusal to participate (any age), or caregiver refusal to participate for patients less than 18 years of age * Cognitively or physically unable to participate * Patient is unable to speak in the English language * Patient is unable to read in the English language * Patient is a ward of the state * Patient has severe comorbidities including other major chronic health conditions that significantly impact daily management demands or health outcomes