Abby started creeping up with b/s on Wednesday. When she woke on Thursday she was high all day in the upper 300's (360-380's). I ran a 170% basal rate all day, inspected the site (no kinks because we use the steel needle), no bubbles in the tubing, checked her pump settings, checked bolus history, asked her if anything hurt, she's perky and happy. The only thing that is going on that is out of the ordinary is a front tooth is coming in. With all those things being okay I pitched the insulin (we just opened it on 01/02/09) and changed the site anyway. After removing the adhesive pad Abby had a bruise where the site went in that was being covered by the adhesive pad so it wasn't noticable just looking at it. The spot where the site was at is raised up, and purple, but not red, and it's not hot to the touch. We got her down to 87 before bed, had 5 carbs free, and put her to bed. Her 3am check was perfect. She woke at a 163- so things turned around Now I get a call from school- she was a 360 post breakfast and a 383 before lunch with 1.1 ketones The nurse checked her temp and she's normal. What the heck am I missing?????????????????????