Endorsement Diabetes mellitus is a chronic disease, the seriousness of which is still often not recognized, although the complications that the condition implies can be very damaging as well as costly and are often brought on by a lack of knowledge about the condition and lack of adequate care. Diabetes is also one of the most frequent chronic diseases in childhood, which not only affects the child himself, but also involves his immediate environment. His parents do not always know how to react and feel insecure about the child’s future. Teachers and friends often do not know how to respond when a child has diabetes. As a direct consequence, the child often feels isolated and stigmatized. The first ISPAD Consensus Guidelines for the management of children and adolescents with diabetes published in 1995 were a very valuable tool. We therefore very much welcome this updated version of the Consensus Guidelines on diabetes in children and adolescents and sincerely hope that they will contribute to the improvement in care and living conditions of the child with diabetes. Maria L de Alva IDF President