Wersäll JH, Adolfsson P, Forsander G, et al. - Researchers conducted this prospective observational study to identify pediatric patients with diabetic ketoacidosis (DKA) at hospital admission, regarding parental awareness of diabetes‐related symptoms and delayed referrals [defined as a primary healthcare contact due to diabetes‐related symptoms 0‐4 weeks before hospital admission without immediate referral, or registered elevated glucose levels at primary healthcare centers without immediate referral] from primary healthcare providers to pediatric emergency wards. Patients aged 0 to 18 years who were admitted to a hospital with new-onset T1D and DKA between 2015 and 2017 were invited to take part. The study included 237 patients, with 39% reporting parental suspicion of new-onset diabetes prior to healthcare contacts. Parental diabetes suspicion was associated with milder DKA at hospital admission. A delayed referral was observed in a significant proportion of children with primary healthcare contacts for diabetes-related symptoms. It is critical to raise awareness of diabetes symptoms.