| Sumario: | Diabetes Mellitus Type 1 (T1D) is a chronic disease most common in children and adolescents so that management is a complex factor. Adolescents are trained to be autonomous. The presence of the family, especially parents, plays an important role both in the metabolic control of the disease and in the psychology of adolescents. Children with diabetes feel different from the other children and often are ashamed. The participation of children in the self-care of T1D is quite important. However, during adolescence, various hormonal, psycho-emotional and physical changes occur that disturb the relative calm of previous years. There is usually poor glycemic control, as well as high-risk behaviors such as diabetes, increased sexuality, smoking and alcohol. Parents also experience behavioral problems such as anxiety and disclaimer. Children and adolescents with T1D have exactly the same needs as their peers without the disease. They need to live like everyone, without deprivation but with care and consistency in their treatment program. Parents need to be informed and educated as well as their children. Good quality of life with the aim of integrating young people into social and productive life and the persuasion that they do not differ from others when they adhere to their program leads to psychosocial integrity.
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