Hi all...I know I should know this by now, but we had a rough night. We had our Fall Festival at church yesterday, and Zoe ran around like a crazy kid playing games, eating candy, chili, smores etc. She kept popping sugars around 300-350 even with lots of corrections and activity. I thought her site looked bad, and decided to change it out when we got home. Still over 300. Took shower and went to bed (I did not correct again, because the pump said 5 units on board). I was afraid of the activity and insulin catching up and her crashing. She starts itching like crazy and has a rash on her face and neck. Check her at 12:30, and she's HI (!!!!). She has never been over 600 since dx. Small ketones, spend the rest of the night bringing her down. 3:00 250, then slept through 5:00 alarm, wake up at 6:00 and she'd 56. Looks like crap, feels very dizzy and can't sit up because her head hurts too bad. She tried around 9:00 to get dressed for school. BG is 198 (only had a 19 gram juice). She is very pale, with dark circles under eyes, c/o stomache ache, BAD headache and very dizzy. So...I'm not sure if she's getting sick, or this is the result of a bad high/low combo. When my oldest has a HI or 500 bg, she doesn't seem fazed by it. zoe just seems miserable (she has been asleep all morning). So...for those of you who deal with 9-10 year olds...is this the ketones, or sickness? Or both?