A sick child. Can't keep food down. Low BG. I understand and appreciate a full insulin suspend in this situation. But I'm wondering what other situations call for a full insulin suspend. I'm asking because we often face the following scenario. Big carb, high fat dinner. We extend bolus. Looks like we overshoot the up-front bolus as we're soon faced with a CGM reading of 75 with two down arrows. A finger prick confirms 75, but the accompanying two down arrows terrifies us because two down arrows suggest BG could fall another 45 points in 15 minutes (before fast carbs can take effect). We hit the panic button. 10 - 20 fast carbs PLUS insulin suspend (during a period when hourly basal is at its peak for my son) and we pay the price two hours later with a trip to 250 or higher). I suspect the answer to this situation is to not panic and give the quick carbs only with no insulin suspend. Our fear is that the fast-acting carbs will not react fast enough with all the slow-acting carbs already on board. Not sure if this is rational, but I suppose we don't want to find out what happens if we're wrong. Maybe a couple topics here but as always, thanks for feedback.