This survey aimed to investigate in all Italian pediatric diabetes centers at the beginning of the COVID-19 pandemic: (a) The tools used to provide telemedicine services for children and adolescents with type 1 diabetes, both in patients using or not using technological tools (e.g., insulin pumps and/or flash/continuous glucose monitoring systems); (b) the administrative recognition for telemedicine activities; (c) the reimbursement of telemedicine activities. The gene discussed is INS; the disease is type 1 diabetes mellitus.