Abstract: This study was conducted to assess the common dietary practices among children with Type 1 Diabetes Mellitus (T1 DM). This is a sub study of another study conducted among type 1 diabetic subjects from July 2011-June 2012 at Baqai Institute of Diabetology and Endocrinology (BIDE) and Diabetic Association of Pakistan (DAP). Children with Type 1 DM aged 10-20 yrs registered in these centers were selected to record their dietary intake through pre-designed questionnaire based on the 24 h dietary recall interview. Food Guide Pyramid was used to assess and compare the dietary intake of these patients with recommendations. The dietary record showed that all 103 Type 1 DM subjects were consuming bread and cereal in which 53.9% were taking recommended servings. Seventy nine were taking meat group in which 44.3% were taking recommended serving, Fifty Nine were consuming milk group in which only 11.9% consumed recommended servings of milk daily. Fifty two patients were taking vegetable group in which only 11.5% were taking recommended serving. Twenty eight patients were consuming fruits in which 25% were taking recommended servings of fruits while rests of them were taking below the recommendations. Majority of type 1 DM patients were taking the bread and cereals group according to the recommended servings while meat, milk, fruits and vegetable groups were not consumed according to the recommended guidelines of Food Guide Pyramid. Mothers need to concentrate on planning for their children’s meals and snacks and they must encourage their child in making the healthy food choices.