INS and type 1 diabetes mellitus: 70-year-old blind woman with long-standing T1DM on insulin pump who likely mistakenly filled her pump reservoir with air presented with loss of consciousness. Temp = 34.4◦C, BP = 69/49 and HR = 88/min. Labs showed Glu = 1290 mg/dl, Na = 131 mmol/l, HCO3 = 12 mmol/l, ketonemia, lactate = 56 mmol/l, creatinine = 3.96 mg/dl and WBC = 25.1 x103/μL.