**6. Conclusion**

Diagnosis and management of type 1 diabetes has improved over the past decade, but there are still challenges. More than a hundred pediatric endocrinologist have been trained from Nairobi, Lagos and Khartoum for the African sub-region, but the continent needs more pediatric endocrinologists for comprehensive care of type 1 diabetes mellitus. More education about type 1 diabetes is needed to improve awareness so that early diagnosis and management can be made.
