Type 1 diabetes in children and adolescents is a complex disease requiring multifaceted care. Children are managed with a combination of insulin by injection or pump, meal planning, and blood glucose self-monitoring. Close follow-up by a pediatric diabetes treatment team is recommended for most children. Concerns related to short- and long-term complications and the complexity of day-to-day management comprise the difficulties reported by parents and their children with type 1 diabetes.