My blood sugar is 650, I'm spilling keytones in my urine, and I have a massive headache. This is because the cannula in my insulin pump broke and I haven't been receiving insulin for over six hours. I don't feel that bad, other than feeling like I have high blood sugar and a slight headache, but it's 1AM. Is this grounds to go to the Emergency room? I've been Type One Diabetic since age 9 (23 now) and I've never been this high.

I don't know what to do. The internet says to call the hospital if you're over 300 and spilling keytones but fuck that.