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The purpose of the present study was to evaluate generic and pediatric parenting stress in an international sample of fathers of children with type 1 diabetes. Two-hundred forty-nine fathers of children ages 2 to 10 years with type 1 diabetes completed the Parenting Stress Index, Pediatric Inventory for Parents, Dads' Active Disease Support Scale (DADS), Self-Care Inventory, and a demographic/disease-related questionnaire online. More frequency of pediatric parenting stress was associated with greater general parenting stress (r = −0.25, P < .001), DADS Involvement (r = 0.18, P < .01). The present findings suggest that paternal involvement in management of the child's T1 can have meaningful implications for disease management outcomes.