Diabetes in young people is a heavy burden all over the world but it is particularly severe in developing countries. Although the condition is the same, the context can be very different. Young people with diabetes in the Democratic Republic of Congo have to face a number of major challenges. They are perceived as having a ‘mysterious disease’ which requires a lot of attention on a daily basis throughout a lifetime. Belief in spells is quite common in Africa, and many families feel it is their responsibility to find the person responsible for causing the diabetes.