Terry, I'm so glad you got your sugars to come down. That can be very scary. It happened to me one time that way too but they finally started coming down and I didn't have to go to the ER. I would say if your sugars are very high and you throw up, and you have ketones or you don't have anything to test for ketones but you suspect you may be spilling ketones, it is time to head to the ER. If they stay high for over 3 hours and are not even starting to edge their way back down with lots of insulin, again, test for ketones, but if you don't have any ketostix, may be time to head to the ER. I know we hate the ER. I have never had to go there for DKA yet since my diagnosis 26 years ago, but if I had to, I would. Julie |