Educational Objectives• Type 1 diabetes mellitus (T1DM) is a predominantly autoimmune process that can be incited by viral illness, and the incidence of which has increased since the start of the COVID-19 pandemic. • T1DM typically presents in childhood and early adolescence, although those with early-onset T1DM(before age 5 years old) are at higher risk for diabetic ketoacidosis (DKA) and developmental delays (due to both DKA and glycemic variability on the developing brain), so early recognition by pediatricians is imperative.