INS and type 1 diabetes mellitus: Achieving the ideal blood glucose level is very difficult for many patients with diabetes, therefore, in the current study, the rate of optimal glycemic control (HbA1C <7%) represented around 31.6% of the patients comprised in other studies in Kenya (28%),12 Saudi Arabia (31.2%), Egypt (60%) and two-thirds of Italian children with T1DM have HbA1c>8% despite a regionalized centers, free access to appropriate diabetes care, multidisciplinary team approach, frequent blood glucose monitoring, education and multiple insulin injections.13