The reason his ketones seem like a mystery is because they don't always happen. He can go several days waking up around 105-120, then suddenly he's high. He doesn't always wake up high. Often, but not always, it's not consistent. Like I said earlier, I'm going to start a meal log to see if I can find a trigger. His I:C ratio is 1:30 when he's at school (lunch), and 1:15 when he's at home (breakfast/dinner). his endo did that to combat his afternoon lows, cuz he was dipping for a while. I don't really know what you mean by run the numbers? I'm guessing I need help with that. The endo office only does adjustments on Wednesdays, so I'll definitely call this wednesday n push for an increase in his basal. I did have a pretty extensive talk with the assistant principal and explained what all is happening and we came up with a plan for his high days. He will go to school and they will dose him every two hours and he will have an alternative plan for PE.