Diabetes Care Management Compared to Standard Diabetes Care in Adolescents and Young Adults With Type 1 Diabetes

Inclusion Criteria: * Established T1D diagnosis for a minimum of one year (chosen to allow time for adjustment to a new diagnosis and more stable disease control). * Between the ages of 17 and 20 years. It is left to the clinical judgment of the pediatric endocrinologist to determine individually the appropriate age of the transition for each subject * At least 1 visit during the previous year with the pediatric endocrinologist at a Diabetes Clinic (aim is to minimize the non-adherence with the intervention). * Ability to participate in all aspects of this clinical trial. * Written informed consent/assent must be obtained and documented. * Resident of Ontario. Exclusion Criteria: * Pregnant or lactating females or intent to become pregnant during the next 3 years. * Conditions which in the opinion of the investigator may interfere with the subject's ability to participate in the study. * Prior enrollment in the current study. * Current participation in another clinical trial or participation in another clinical trial in the 6 months prior to enrollment.