In this session I will explore how education and service delivery needs to be amended for children and caregivers who have experienced trauma prior to or at diagnosis of type 1 diabetes. I will do this by providing a couple of case examples illustrating how assessment of trauma experienced can help inform care strategies with children, teenagers and their caregivers. I will describe some of different ways in which education and care can be delivered to help children and their caregivers heal from the trauma they have experienced.