Family-Based Treatment for Type 1 Diabetes

Inclusion Criteria: * T1D of 12 or more months duration * Age 6-17-years * Presence of overweight/obesity * Youth uses a pump for insulin delivery and a continuous glucose monitoring device to monitor glycemic levels * Youth has one parent with overweight/obesity willing to participate in the program Exclusion Criteria: * Child: * Chronic conditions other than T1D * Other autoimmune conditions other then T1D or autoimmune thyroiditis. * Medications that can affects weight, such as medications used to treat Attention Deficit Disorder or high dose steroids used to treat asthma. * Depression symptoms by standard of care Patient Health Questionnaire (PHQ) 9 in the child or parent * Inability to perform at least mild physical activity such as walking * Child with handicap (such as developmental delay or deafness) that would prevent him/her from benefitting from counseling in person and/or remotely Participating parent with * symptoms of depression assessed by standard of care PHQ * autoimmune disorders other than T1D or autoimmune thyroiditis * Participating parents with chronic disorder that is treated with medications that interfere with weight loss or are preventing him/her from performing at least mild physical activity