1.2.0.0 Di­a­betes Self-‍man­age­ment Ed­u­ca­tion and Sup­port

No mat­ter how sound the med­i­cal reg­i­men, it can only be ef­fec­tive if the fam­i­ly and/‍or af­fect­ed in­di­vid­u­als are able to im­ple­ment it. Fam­i­ly in­volve­ment is a vital com­po­nent of op­ti­mal di­a­betes man­age­ment through­out child­hood and ado­les­cence. Health care pro­viders in the di­a­betes care team who care for chil­dren and ado­les­cents must be ca­pa­ble of eval­u­at­ing the ed­u­ca­tional, be­hav­ioral, emo­tion­al, and psy­choso­cial fac­tors that im­pact im­ple­mentation of a treat­ment plan and must work with the in­di­vid­u­al and fam­i­ly to over­come bar­ri­ers or redefine goals as ap­pro­pri­ate. Di­a­betes self-‍man­age­ment ed­u­ca­tion and sup­port re­quires pe­ri­od­ic re­as­sess­ment, es­pe­cial­ly as the youth grows, de­vel­ops, and ac­quires the need for greater in­de­pen­dent self-‍care skills. In ad­di­tion, it is nec­es­sary to as­sess the ed­u­ca­tional needs and skills of day care pro­viders, school nurs­es, or other school per­son­nel who par­tic­i­pate in the care of the young child with di­a­betes (9).