IDDM is one of the most frequent chronic diseases of childhood .Itsmanagement in children should include regular assessment, carefulmonitoring of glycemic control and educational training on diseasemanagement). The aim of this work is to evaluate the ability of theeducational programme to enhance patient's self-care behavior, to auditthe structure, process, and outcome of care. Patients and Methods: Thestudy is a prospective randomized study of 100 diabetic patients below theage of 18 years old. conducted at the Diabetes Endocrine MetabolicPediatric Unit (DEMPU) of Cairo University Children's Hospital. Patientswere selected from those regularly attending the diabetic educationprogramme. The programme was conducted by a diabetes specialist, anurse, and dietician with special experience in nutrition of diabetes andwas composed of 4 sessions (90-120 minute each) over a total period of 4weeks. The main results: About 76% of the studied cases sufferedhypoglycemic attacks and47%of the studied cases had DKA in the lastyear prior to the study. Scholastic and educational performance of morethan 61% of the studied cases was affected after developing DM. 71% ofthe studied cases developed psychological problems.66%were poorglycemic control .Conclusion: the strong points of the educationprogramme at our DEMPU were identified as the diet of patients, sportsand importance of regular attendance of follow up clinics while the weakpoints were the information of nature of IDDM, types of syringes andtypes of insulin used. Information about hypo and hyperglycemicsymptoms and information about HbA1c were also markedly limited.