In our study, excess intake of sweets without adding insulin was the highest precipitating factor (39.3%) followed by stress (38.4%), social upset (35.5%), healthy lifestyle (35.1%), URTI (28.9%), poor compliance (28%), gastroenteritis (24.2%), missing dose (20.4%), UTI (15.6%), pneumonia (12.3%) and (7.6%) undefined. Here, INS is linked to pneumonia.