This study analyzed the Caesarean section (CS) rate in 300 women with type 1 diabetes (T1DM) who delivered at a large tertiary hospital using the Robson criteria for meaningful comparisons. The overall CS rate was 58% for women with T1DM, significantly higher than the institutional rate of 19.6%. Nulliparous women who underwent labor induction had a higher CS rate of 48.5% compared to 11.5% for multiparous women. Women with a previous CS usually required repeat CS for subsequent deliveries. High rates of labor induction, especially in nulliparous women, contributed to the high overall CS rates in women with T1DM.