As stated in a few of my threads, we have been battleing ketones hot and heavy for the last month and a halfish and so. The cause usually is becouse the set comes out in the middle of the night, so I know the cause, lack of insulin. Once or twice is was pump related, matt has it set to vibrate. Unfortunately, a tornado wouldnt wake him up unless shrapnel hit him, and even then, it would be iffy. He sleeps hard, and flip floppy. He is all over that bed. So, and I think I am doing it wrong, I take blood sugar, and input that so the pump does a correction. Then I start to give him high carb things to eat/drink... coke being his drink of choice to put more insulin into him. We play this game, drink, carb, drink, carb to get more insulin in him. Is there a set amound of extra insulin I should just give him without carbs? I fear that, what if he then goes very low. At least with the food, I know the insulin is going to keep him up. basically, how do you treat for ketones, at least, when the ketone is something that you know why its there... Not so much a sick ketone but a lack of insulin ketone. (I guess I would also like to know how you would also treat for a sick ketone as well. ) I got some IV prep to put on the sets, to hopefully advert them from coming out at night, and will see about the other sticky stuff to use by calling minimed for samples.