Young people are given responsibility in different ways and at different rates across cultures and families. However, families from different backgrounds face similar challenges in supporting the self-care of a young person with diabetes. Learning to consistently carry out daily diabetes self-care tasks involves the help and support of relevant people across the lifespan: parents, siblings, friends, extended family, spouses/partners, and ultimately, children. Specific diabetes educational goals during childhood and adolescence range from obtaining specific technical knowledge related to understanding the relationships between diet and blood glucose, to helping a young person to prioritize healthy choices and diabetes care in their lives. Regardless of the task, the need for self-efficacy, or the belief in one’s own ability to successfully carry out a task, may be one of the most important aspects of self-care.