The SKA Telescope Manager (TM) is the core package of the SKA Telescope: it is aimed at scheduling observations, controlling their execution, monitoring the telescope health status, diagnosing and fixing its faults and so on. To do that, TM directly interfaces with the Local Monitoring and Control systems (LMCs) of the various SKA Elements (e.g. Dishes, Low-Frequency Aperture Array, etc.), exchanging commands and data with each of them. TM in turn needs to be monitored and controlled, in order its continuous and proper operation – and therefore that of the whole SKA Telescope – is ensured. It appears indeed that, while the unavailability of one or more instances of any other SKA element should result only in a degraded operation for the whole telescope, a problem in TM could cause a complete stop of any operation. In addition to this higher responsibility, a local monitoring and control system for TM has to collect and display logging data directly to operators, perform lifecycle management of TM applications and directly deal - when possible - with management of TM faults (which also includes a direct handling of TM status and performance data). In this paper, the peculiarities presented by the TM monitoring and control and the consequences they have on the design of a related LMC system are addressed and discussed.