Charlotte threw up all night and woke up with ketones of 1.7. I gave her extra insulin and a couple hours later they were 0.6. She threw up again, took a shower and then didn't put her pump back on. Her blood sugar has been in the low 200s, high 100s all morning, but I've been checking ketones regularly. When I realized she hadn't had her pump on for about 90 minutes, I checked and they were back up at 1.6. I gave her extra insulin (the books says 10-20% of TDD which is between 13-16 units). I gave her 2 units (preferring to be cautious because she's still not keeping anything down) and an hour later her ketones are 2.1. She had perked up for a while and saying her stomach felt better, even when her ketones were 1.6. Now she's complaining of a headache. How quickly should ketones clear? For Charlotte they typically clear very easily. So I was surprised to see they had gone up an hour after giving her more insulin. I'm about to give her some gatorade in order to give her some more insulin. Just trying to gauge how worried I should be. In almost 6 years with diabetes, we have rarely dealt with ketones.