Background: Sri Lanka is an island nation with a multi ethnic population of approximately >21 million. No prevalence studies have been conducted on persons living with type 1 diabetes [PLWT1D]. However, it is estimated at approximately 1%-2%. The National Registry of PLWT1D is compiled at the National Diabetes Centre [NDC] at Rajagiriya, Sri Lanka. Diabetes Mellitus [DM] is associated with high cardiovascular disease (CVD) risk. Although micro vascular complications are commonly assessed in PLWT1D population, dyslipidemia which is an independent risk factor for CVD is not often assessed. Aim: The aim is to identify prevalence of dyslipidemia and its association with different risk factors namely poor glycaemic control, improper nutrition, inadequate exercise and chronic stress /depression. Method: This retrospective study was conducted using 150 [male=47%] from the National Registry of PLWT1D who are economically vulnerable subjects. The age range of the study subjects were 10–44 years with a mean age of 24.5; ±6.6. The mean duration of T1D was 6-35 years with a mean of 16.5 yrs; ±6.0. The study subjects received regular comprehensive care comprising of medical and psychological care, all laboratory tests, insulin and home glucose monitoring strips and other accessories free of charge from the NDC from 2017-2021. Diet and exercise was assessed with an interviewer administered questionnaire and depression was assessed using validated PHQ-9. The criteria of dyslipidemia considered was total cholesterol (TC) 200 mg/dl as per ADA guidelines. HbA1c levels >8% were considered as poor glycaemic control. SPSS [version 20] was used for statistical analysis Results: The total cholesterol in the study group ranged from 103-357mg/dl [mean TC 215.9; ±46.7] and poor glycemic control i.e. hba1c range from 5.5-16 mg/dl [mean 9.4 ± 2.2]. The prevalence of dyslipidemia and poor glycaemic control was seen in 60.4% and 69.3% respectively. A significant positive correlation [p<0.05] was seen in subjects with dyslipidemia and chronic stress /depression (r=0.312), poor glycemic control (r=0.074) and inadequate physical activity (p=0.018). There was no significant correlation seen in subjects with dyslipidemia and diet, age, gender or duration of illness. Discussion: Our study clearly reveals a significant correlation between dyslipidemia, a known marker of macroangiopathy, and stress and depression in PLWT1Ds. Often parents and patients are likely to experience medium to high levels of stress leading to depression due to it being a lifelong chronic illness. Often mental health and wellbeing of PLWT1Ds are overlooked due to it be a non-functional, unseen factor. It also emphasizes the importance of early intervention to prevent adverse metabolic and mental health outcomes in this group.