I just woke up at 289 with moderate ketones. I rarely ever have ketones, even when I'm in the 400's. But, every once in a while I'll get them, and they are a pain to get rid of! I corrected with a shot with some extra insulin to get rid of the ketones. Hopefully I'll come down soon, as will the ketones. I have to babysit at 11:00. I think I'll bring my little sister along (she's 13, almost 14) just incase. Ugh...definately NOT a good way to start the day!!!