Background Efforts in treating patients with type 1 diabetes are targeting strict glycemic control to prevent long- and short-term adverse health outcomes. Aim of the Work to evaluate the current health care services provided to patients with type 1 diabetes registered in Pediatric and Adolescent Diabetology Unit (PADU), Children's hospital of Ain-Shams University, in terms of metabolic control and complications encountered. Patients and Methods This retrospective cross-sectional study was conducted on all patients attending diabetology clinic during the period between May 2017 and July 2018. Patients' data was extracted from patients records of clinic including baseline and follow up examination and investigations. Results The mean age of patients was 12.63 ± 3.41 years with mean diabetes duration 5.54 ± 3.07 years. The mean HbA1c was 8.75 ± 1.94 %, with mean number of blood glucose monitoring (SMBG) 2.43 ± 0.64 times/day. Patients with more than 5-year-diabetes duration have significantly higher cholesterol level (167.58 ± 38.02 versus 163.23 ± 35.54 mg/dl), higher LDL (100.23 ± 29.49 versus 95.70 ± 28.11 mg/dl), presence of celiac antibodies (5 cases versus 4 cases) and lower number of SMBG (2.24 ± 0.66 versus 2.58 ± 0.57 times/day), (p < 0.05). Conclusion Patients with more diabetes duration have significantly higher incidence for microvascular complications and have less satisfaction than others with less duration of diabetes.