Lia has a bad cold and high readings that will NOT go down no matter what I do. No ketones (well a few trace readings), but she hasn't gone under 200 but twice since coming home from camp Friday afternoon. She's generally been between 250 and 350. I have changed sites, changed insulin vials, increased basals, done temp basals of 200% and NOTHING is helping. I have twice had to change the max basal setting in her pump because we're getting that warning. I guess it could be the pump itself, I haven't given a shot as I'm sure it's not a bad site since we've changed it a few times and no ketones. Other than that what to do? I've called the endo's office to leave voice mails and get messages for both the cde and np that they are on vacation. I think the endo is volunteering at camp this week, they may be too. They say to leave a message for emergencies but since she doesn't have ketones, I don't know that I would call it an emergency. Just very frustrating! I will give her a shot tonight (I'm at work, she's at grandma's and I forgot to pack the syringes/vial though in an emergency my mom has a key to our house, it's just a bit of a drive otherwise). What else can I do other than keep upping insulin? Normally in cases like this if we do a temp basal of 150-200 it works!