INS and Hypoglycemia: Insulin pump therapy is recommended for youth with type 1 diabetes (T1D) as it is associated with enhanced quality of life, improved glycemia, and decreased hypoglycemia.1–5 Unlike multiple daily injections, insulin pumps allow for alleviating diabetes burden by delivering precise, rapid-acting insulin throughout the day and enhancing glycemic control.1,6 There are some concerns for diabetes-related ketoacidosis (DKA), but the literature shows that the risk remains low in insulin pump users compared with those with multiple daily insulin injection users.7–9