INS and pneumonia: Excess intake of sweets without additional insulin was the largest precipitating factor observed in 83 (39.3%) patients, followed by stress (38.4%), social upset (35.5%), unhealthy lifestyle (35.1%), URTI (28.9%), poor compliance to medication and follow-up (28%), gastroenteritis (24.2%), missing a medication dose (20.4%), UTI (15.6%), pneumonia (12.3%) and (7.6%) undefined (Figure 2).