Developmentally-tailored diabetes self-care education and support are integral parts of contemporary
multidisciplinary T1D care. The patient with T1D must have the support of the family and
the diabetes team to maintain the rigors of diabetes management, but the specific roles of patients and
families with regard to daily diabetes tasks change considerably throughout the developmental span of
early childhood, middle childhood/school-age years, and adolescence. This review provides a framework
of key normative developmental issues for each of these developmental stages. Within this context,
ideal family diabetes management is reviewed within each developmental stage and anticipated challenges that can
arise during these stages and that can adversely impact diabetes management are presented. This paper also summarizes
empirical evidence for specific intervention and care strategies to support optimal diabetes management across these
stages in order to maximize opportunities for a successful transfer of diabetes management tasks from parents to maturing
youth. Finally, the review provides an emphasis on approaches to promote family teamwork and adolescent diabetes self-care
adherence as well as opportunities to use novel technology platforms as a means to support optimal diabetes management.
Keywords: Type 1 diabetes, pediatrics, intensive therapy, family teamwork, adolescence, transition.
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