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Inform the client that working out needs to be a priority in order to regulate type 1 diabetes. Tell the client that an hour commitment three to four times per week is not impossible. 

Ask the client about obstacles that keep the client from making the training on time. Continue to educate the client about the importance of staying active to help regulate type 1 diabetes.

Continue to bill the client for sessions that the client is missing. The personal trainer is running a business, and the client needs to figure out personal matters and make the sessions that have been scheduled.

Ask the client about obstacles that keep the client from making the training on time. If the client is incapable of training for an hour with the personal trainer, modify the workouts to a timeframe to which the client can commit. Continue to educate the client about the importance of staying active to help regulate type 1 diabetes.