Type 1 diabetes (T1D) is often synonymous with glycemic control with emphasis on maintaining and following up with glucose control. Most international guidelines recommended that screening for dyslipidemia as a cardiovascular risk factor should begin at around puberty. Over the last decade, there have been various studies in different regions of the world regarding the prevalence and pattern of dyslipidemia in T1D. Recent guidelines have recommended screening for dyslipidemia as early as 2 years’ age. However, data regarding dyslipidemia in Indians with T1D is scarce. We studied the prevalence and pattern of dyslipidemia soon after diagnosis of T1D in Indian population. This retrospective observational study using medical records (2008-2022) included patients (age >2 years) with T1D, who attended endocrine clinic at a tertiary care hospital. Patients with uncontrolled hypothyroidism, preexisting cardiovascular disease, familial hypercholesterolemia, or those already on statins were excluded. The information retrieved from the medical records included age at diagnosis of diabetes, family history of CAD or dyslipidemia, height, weight, BMI, blood pressure. The biochemical parameters were noted: fasting lipid profile in mg/dl (total cholesterol, triglycerides, LDL-cholesterol, non-HDL-cholesterol, HDL-cholesterol) done within six months of diagnosis of T1D, and Hba1c at that time. The cut offs for dyslipidemia were taken as per ISPAD and ADA guidelines. Lipid profile, soon after diagnosis of T1D, was available in 161 patients (93 males, 68 females). The mean age of the study population was 15.73 (±9.9) yrs, and mean BMI was 16.8 (±7.01) kg/m2. At least one abnormal lipid parameter was found in 67.7%, with elevated T.Chol in 11.8%, TG in 24.2%, LDLc in 36.6%, non-HDLc in 33.5% and low HDL in 14.9%. On stratifying according to age, 56.2% subjects <10yrs age (n=32) had at least one abnormal lipid with low HDLc being most common (28.1%), followed by raised TG (25%). In patients 10-19 yrs age group and those >19 yrs age, raised LDLc was most common (40.2% and 42.1% respectively), followed by low HDLc (31.9% and 38.6% respectively). Most patients with T1D (67.7%) had dyslipidemia within six months of diagnosis of T1D. Majority of children <10 yrs age also had abnormal lipids initially; most common being low HDLc and elevated TG. In patients >10yrs age, raised LDLc is most common. Dyslipidemia being an independent CV risk factor needs to be assessed for and addressed to, along with glycemic control, early in the course of T1D.