In addition to recognizing the relevant differences among diabetes treatment regimens, pediatric anesthesiologists must also consider a child’s metabolic control, age, size, pubertal development, the intended surgical procedure, and its length when devising a perioperative plan.As diabetes treatment options for children continue to change, such algorithms will need to be updated. Formal assessment of the impact of such algorithms on clinical outcomes, satisfaction with care, and cost of care would provide additional insight into their revision.