A 32-year old developmentally disabled man with diabetes underwent several surgeries for a vertebral fracture. The day following his second procedure, the man’s insulin pump malfunctioned and his parents were allegedly forced to manage his insulin through injections. Over the next several hours, his blood sugar fell sharply causing a profound anoxic brain injury, which left him in a persistent vegetative state; he died thereafter. The facility contended that the parents insisted in managing their son’s insulin, however, the parents disputed this claiming that the facility acted below accepted standards of care by forcing them to manage their son’s insulin.