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Rats and mice have invaded diabetes summer camp and it is up to our diabetic elephant heroes, Packy & Marlon, to find food and diabetes supplies to save the camp. In four simulated days in a side-scrolling Nintendo console adventure game with 24 game levels, players guide their elephant to meet game challenges and to stay healthy enough to win by keeping blood glucose in a normal range through blood glucose testing, taking insulin, and eating appropriate foods. A randomized clinical trial with children and adolescents who have type 1 diabetes found that playing this game led to a 77-percent reduction in their urgent care and emergency clinical visits related to diabetes.