Our 7 1/2 year old (on an insulin pump) has been vomiting once or twice at around 1 or 2 in the morning about 6 times since January.  This never happened the previous 15 months that she had diabetes.   Her blood sugars are always high when it happens (over 250) and we feel like terrible parents for not checking more closely.  She never has a headache and is always fine the next day.   Would high blood sugars be the only reason for this?  Does anyone else have similar experiences?  They tend to happen when she is high in the evening because of a birthday party or something like that.  We bolus her for the overage, but then she goes even higher at night- We believe the fat in the food causes the delayed rise in blood sugars.  Any

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It might be possible that the insertion set isn't in correctly... or it might be a bad site... there's several things it could be...

Has she been sick any? And what kind of insulin is she on? My Novolog won't do ANYTHING for me if i'm sick... my sugar just keeps on cruising into the stratosphere.
I just got to thinking, if she has bad ketones, that would cause the insulin to not work as well (or at least it does for me). Maybe try giving her a glass of water just before bed to help with that... there really are a ton of things it could be...
Have you mentioned it to her Endo? As Stephen said it could be lots of things.
Hi Allie,
you should really speak to the endo right away so they can adjust basal rates if they need to be changed since you are seeing a pattern of this.
High fat foods will raise BG's hours after and also if there are any site insertion problems such as clogging or being bent.

Vomiting is not a good sign especially when BG's are high.Could be a sign of ketone acidoses.Just be sure to check her ketones when BG's are high (you can get strips from the docs).Depending how high the BG is and if you think the pump is clogged and not working,always take an injection of insulin by a needle so you can insure that you are getting the insulin and change the pump site.

I'm not a doctor but I am a diabetic with some experience.I hope this is helpful and please, keep us updated.Good luck!
Thank you all for your help! I will call and tell the endo this. She wasn't sick with a temp or anything else like that. I am still thinking it is because of her high levels. We go ahead and bolus her for the full overage in the middle of the night. When she wakes up, she is usually from 100-130. What is strange is that she never did this for the first 16 months that she had diabetes. I wonder if it is a growth spurt/needs more insulin at night thing?? I was almost thinking a celiac disease- but she doesn't have any bloating, stomach pains and things like that.
Insulin requirements change frequently for us all, but especially true for a growing child.
Hey Allie I think Angela is spot on.
Because when I was high and had ketons present was the only time I vomited in all my years as a diabetic it might not be but if her levels are high and she is vomiting thats something that comes to mind.If you have checked and her keton levels are high and she is vomiting I would head to the hosptial because ketons is very dangerous.
Goodluck
Does her BG plummet after getting sick? The times I've vomited has caused lows. No food in stomach, correction given, dehydration from throwing up---not a good combo.
Levels were great all through the day yesterday- and no nighttime vomiting- yeah!! I really do think it is when she has gotten high levels during the day and then high again at night.
It happens to me once few years ago. My blood glucose level was also high (around 500 ...) I had to check ketones also. Did you check ketones on your daughter ?

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