This was the entry in Morgan's caring bridge page on March 17th 2008: We are spending St. Patrick's Day in the PICU. Yes, I said PICU. Morgan is a sick little boy. He has developed diabetic ketoacidosis. Last night at about 9:30 I brought Morgan to the e.r. with symptoms I thought were related to a respiratory problem. He had real rapid, labored breathing. He was lethargic and limp and had no energy. He didn't seem able to focus and would not respond to his name. After they did some lab work we learned that his glucose level was over 1,000. Normal is around 120. His sodium and chloride levels are also high. At about 3am Morgan was admitted to the Blank PICU. He has been having blood draws every 4 hours to check his sodium levels. So far they are still too high. Right now that is the main concern, to get those levels stable. He has been having his glucose level checked every hour and, with the addition of insulin, they have decreased significantly. Because of the sodium issues Morgan's breathing has continued to be labored and his heart rate extremely elevated. He is on about 3 liters of oxygen to help this. Dr. Cook was here a bit ago and she told us she believes that Morgan has developed type 1 or juvenile onset diabetes. This is the insulin dependent diabetes. She doesn't know why he has developed this, she can find no literature that links it to trisomy 18. She did tell us that because Morgan has hypothyroidism he was at an increased risk to develop diabetes. So, now Mike and I get educated. We must learn to check Morgan's glucose and learn to give him insulin shots, not to mention monitoring his diet. It seems like a lot, but it must be done. I must say that I have been feeling incredibly guilty about this. Morgan has been very irritable and grumpy for a few weeks now. I didn't think anything was wrong other than he was a crab. Now I learn that he has probably been coming down with this for several weeks. All that irritability was probably his reacting to these changes in his body. He couldn't tell us he didn't feel right.