Awake, alert patients without diabetes-related complaints should be allowed to operate their pump while in the ED
If pump needs to be disconnected for >1hr, give a dose of subcutaneous<unk> 
Hypoglycemia
Do NOT disconnect pump
Work up and treat as you would any other hypoglycemic patient
Hyperglycemia
Have patient administer an<unk>  bolus
DKA
Assume<unk>  failure
Turn off and disconnect pump by pulling the catheter out from under the dressing removing it from the subcutaneous insertion site
Continue usual DKA management
Do NOT disconnect pump
Work up and treat as you would any other hypoglycemic patient
Have patient administer an<unk>  bolus
Assume<unk>  failure
Turn off and disconnect pump by pulling the catheter out from under the dressing removing it from the subcutaneous insertion site
Continue usual DKA management
Insulin infusion device complications
Pancreas transplant complications
Bariatric surgery complications
Starvation ketoacidosis
G-tube complications
Gastric pacemaker complications
CVC catheter problems
Metabolic emergencies 