In this issue of Endocrinology and Metabolism Clinics of North America, guest editor Dr. Grazia Aleppo brings her considerable expertise to the topic of Diabetes Technology. Recent technological advancements have revolutionized diabetes care, transforming the traditional approach from reliance solely on fingerstick blood glucose measurements and fixed dosing schedules to more dynamic, precise, and personalized strategies. In this issue, top experts provide a deeper understanding of currently available systems and their role in the management of type 1 and type 2 diabetes.