I've been living with diabetes for almost 40 years and have no complications and have lived a very full life!  I'm in complete agreement with Ginger!  What has happened that he is not willing to do the minimum?     When I was in college I was very lax about testing, but I never missed a shot! Letting his pump go dry means he is not willing to do the very minimum!  Most people with diabetes suffer periods of burnout and we drop the ball, but this is an example of total neglect and a worry for his friends and you!   Check into some programs locally that can give him support that he needs.    Hope this works out for all of you!