Children with type 1 diabetes are at heightened risk of early renal alterations that may progress to diabetic kidney disease if not adequately addressed. Nurses play a pivotal role in mitigating this risk through comprehensive, developmentally appropriate interventions that extend beyond glycemic control. This mini-review synthesizes current evidence on nursing interventions relevant to renal health in children with type 1 diabetes, with a focus on education, monitoring, lifestyle modification, and family-centered care. The reviewed literature highlights that structured diabetes education, promotion of optimal insulin adherence, and reinforcement of healthy dietary and hydration practices contribute to improved metabolic stability and reduced renal stress. Regular nursing-led screening for early markers of renal involvement, including blood pressure abnormalities and microalbuminuria, facilitates timely referral and intervention. In addition, psychosocial support and empowerment of children and their families enhance self-management behaviors that are essential for long-term renal protection. Despite growing recognition of the nurse’s role in preventing diabetes-related renal complications, existing studies remain heterogeneous, and high-quality pediatric-focused evidence is limited. This mini-review underscores the need for integrative, nurse-driven strategies that align metabolic management with early renal preservation and calls for further research to strengthen the evidence base guiding nursing practice in this vulnerable population.