According to the CDC, in 2010, diabetes affected approximately 1% of the population aged 20 or younger in the United States, with 13,000 children under the age of 18 diagnosed with diabetes type 1 per year. In 2007, it was found that the average spending was $11,744 per year. This amount includes direct attributes of diabetes, such as medical expenses, as well as lost work days, restricted activities, and diabetes-related disability. This amount is “approximately 2.3 times higher than what would be spent in the absence of diabetes” (Center for Disease Control and Prevention (CDC), 2012). Type 1 diabetes is the most commonly diagnosed type of diabetes in children and young adults. With this type of diabetes, the body destroys insulin-producing beta cells in the pancreas. Insulin is needed to transport glucose into cells and use it as an energy source. Due to the destruction of insulin cells, type 1 diabetes is insulin dependent, meaning insulin therapy is necessary to treat the disease. Most common symptoms include: frequent urination, excessive thirst and hunger, extreme fatigue, blurred vision, weight loss, and slow healing of cuts and bruises (American Diabetes Association (ADA), 2013). Clinical treatment of type 1 diabetes focuses on glycemic control, which can be achieved through nutritional management, exercise, and insulin therapy. The goal of insulin therapy is to maintain normal blood sugar levels between 60 and 100 mg/dL. For insulin therapy to remain effective, the child and parent must monitor the child's blood sugar before and after meals, carbohydrates consumed must be counted, and exercise must be part of the daily routine. Nutritional management is important “to provide adequate adjustment for mothers of young children with type 1 diabetes” (2009). Children's Health Care, doi: 10.1080/02739610902813229Popp J, Robinson J, Britner P, Blank T. Parental coping and family functioning in relation to narratives of children with chronic illness. (2014). Journal Of Pediatric Nursing [online series]. 2014;29(1):58-64. Available from: CINAHL with full text, Ipswich, MA. Accessed March 18, 2014. Schmidt, CA, Bernaix, LW, Chiapetta, M., Carroll, E. and Beland, A. (nd). Hospital-based survival skills training for type 1 diabetes: perceptions of children and parents. (2012). The American Journal of Maternal/Child Nursing, 37(2), 88-94. Tsiouli, E., Alexopoulos, EC, Stefanaki, C., Darviri, C. and Chrousos, GP (nd). Effects of diabetes-related family stress on glycemic control in young patients. (2013). Canadian family doctor, 59, 143-149.