My 11-1/2 year-old daughter, Tikva (Tiki) was diagnosed with T1D on January 24, 2014. We were quite fortunate that she didn't develop DKA before diagnosis. Two factors came into play that resulted in Tiki's early diagnosis. Firstly, I am a physician (not specializing in Endocrinology, however) and second, Tiki was bed- and wheelchair-bound after having had major orthopedic surgery on December 18, 2013 (shout out to Dennis Roy, MD, the best surgeon at Shriners Hospital in Portland, Oregon!). Because Tiki was not able to walk at the time, she depended on me and her father to bring her food and water, so I noticed early on that she was drinking ginormous amounts of water and asking for the bedside commode frequently. By the forth day or so, I told my husband that I suspected Tiki had developed T1D. He took Tiki to see her pediatrician (the wonderful Melanie Ronai, MD, at Salem Pediatric Clinic) that Friday morning. While my husband and daughter were on their way home, Dr. Ronai telephoned me to let me know that a direct admission to Doernbecher's Children's Hospital in Portland, Oregon was being arranged. During the hour-long drive to Portland, I had time to answer my daughter's questions about diabetes. I told her that I believed there was over a 50% chance that she did, indeed, have T1D, and what this meant. She handled this reasonably well, I think in part because her best girlfriend at school has three siblings with T1D, so she was familiar with some of what having diabetes involves. By hospital day two, Tiki was doing all her own injections. She only cried once, when we were being discharged and reality struck that her T1D was coming home with us. It has been a fairly uneventful journey so far with only 3 or 4 minor lows (knock wood!). I am so proud of Tikva; she is my hero!