This document discusses special situations that can affect blood glucose management in children with type 1 diabetes, including acute illnesses, medical procedures, travel, and school/daycare. During illnesses, blood glucose should be closely monitored and insulin doses adjusted based on glucose levels and food intake. For procedures, insulin regimens may need adjustments depending on fasting times. Travel can be managed by adjusting long-acting insulin doses to the new time zone. Schools require trained staff, flexibility for diabetes care, and supplies for treating hypoglycemia. Parental involvement is important for safely managing these complex situations.