There are challenges related to social and environmental influences on diabetes self-management, such as disrupting school and social activities, dealing with stigma, and judgments related to diabetes. Integrating diabetes self-management expectations with components of Hispanic/Latino cultures can also be challenging. Examples include orientation toward family well-being, parent concerns about cultural preferences that influence food choices, positive influence of spirituality and religiousness, and parental views of current health care compared to care in their place of birth.

Efforts aimed at improving type 1 diabetes self-management during adolescence with this population need to be tailored to meet unique social and cultural needs.