I have a question--Lindsay has been throwing up since around midnight--throws up about once every hour. Her blood sugars were pretty low during the night--we checked every hour and they were anywhere from 66-80ish. We were giving her regular sprite but she couldn't even keep that down. At 3am she had just trace ketones. Now at 9am her blood sugar hovers around 130 but we have extra large ketones with nausea and vomiting. I think the nausea is now from the starvation ketones, not the virus. I know the ketones must be treated with insulin but she just won't drink much of the sprite nor does she feel like eating anything. So just how do we get rid of the ketones if we can't give insulin? And at what point do we go to the er?