Nearly two-thirds (60.0%) of hospitalizations among patients with type 1 diabetes involved at least one acute diabetes-related complication. Severe hyperglycemia (50.4%) and diabetic ketoacidosis (39.9%) were the most common acute diabetes-related complications, though DKA declined moderately between 2018 and 2026. DKA-associated hospitalizations were common across pediatric and adolescent ages, exceeding 60.0% in childhood and adolescence, but fell substantially through young adulthood and later life.