This document discusses the management of diabetes mellitus in children beyond typical norms. It begins with an introduction to diabetes and classifications of types of diabetes including type 1, type 2, and maturity onset diabetes of the young (MODY). It then discusses epidemiology and the local experience with childhood diabetes at Ekiti State University Teaching Hospital. The remainder of the document focuses on treatment and management of type 1 diabetes in children, including insulin regimens, therapeutic goals, and sick day rules. It also briefly discusses type 2 diabetes in children and the differences between type 1 and type 2 diabetes.