Diabetes is a chronic disease that is a major concern for those responsible for public health. Its gravity consists of its acute and chronic complications. This disease is becoming more frequent among children, with significant impact on the quality of life of the child, his family and his current and future health.The objective of this work is to study the epidemiological profile, clinical, para-clinical,and therapeutic aspects, and the evolution of diabetes among the children through The follow up of pediatric diabetology consultation hospital Alfarabi CHU Med-VI-OUJDA.This is a retrospective study which was conducted during 4 years (from January 2011-December 2014). We included in this study all children under 15 years followed who had type 1 diabetes, and were consulted in pediatric diabetology. This involved 92 children (47boys / 45 girls).the average age was 9.82 years, 74,8% had a faily history of diabetes of. 53.6% were beneficiaries of social health insurance while 18% didn’t have health insurance . the concept of consanguinity was found in 18.9% of cases. The diagnosis was made in autumn in 33.3 % of cases with an average age of 7.23 years at the time of diagnosis and an average capillary blood glucose 3,15g / l. 60% of patients were admitted in a ketoacidosis decompensation state. All the children had cardinal syndrome before they were diagnosed with diabetes, while 89% had weight loss. Patients were followed in pediatric diabetology consultation every 3 months with an average duration of 2.24 years follow-up (minimum duration of less than 6 months and maximum duration of more than 4 years). The majority of children (88%) were initially put under a bydaily pattern of insulin injections. Insulin injections were administered by the parents in 60% of cases. In 52.18% of cases,the adjustment of insulin was done according to the capillary blood glucose, while 47.82% of cases , no,adaptation was done . The average glycated hemoglobin was 8.94%. In searching for subclinical complications, the micro-albimunirie was positive in one case, while the fundus was negative. During follow-up, 74.5% patients had at least one episode of hypoglycemia ; 2 of them were admitted in hypoglycemic coma. the majority of our patients (89.5%) were followed by a dietician and all children were taking their treatment except one who has stopped because of ignorance and neglection. The main purpose of diabetes management is to avoid complications over the years with glycated hemoglobin below 7,5%. This is possible for all young diabetics as long as they receive an adequate education for self-management of their disease