A review of diabetes management problems will be presented from the bi
ased perspective of children and adolescents with insulin-dependent di
abetes mellitus (IDDM), their families, and the team of professionals
who attempt to provide broadly based quality care to ensure that these
young people move into effective adult life with minimal physical and
/or emotional disability from the disease or its management. Although
there are many unique aspects of diabetes in the child and adolescent,
it is expected that recommendations for future care of this group of
patients will, in most cases, have direct relevance to management issu
es to most patients with IDDM.