Correct option is C
Type 1 DM is due to autoimmune destruction of β-cells → absolute insulin deficiency. Only lifelong insulin therapy is effective.
Explanation of options: (a) Oral drugs are used in Type 2 DM, not Type 1. (b) Diet helps but cannot replace insulin. (c) Correct; insulin is mandatory for survival in T1DM. (d) Bariatric surgery helps in obese T2DM, not T1DM.