Fast forward to last night. Around 7 pm, she just took a downturn. Her fever spiked again and we couldn't get her to eat or drink anything. We checked ketones and there none (thank you God!) but she was miserable. She started complaining about her ears and throat and started coughing. We were up most of the night- checking blood sugar- which stayed high most of the night and she was feverish as well. This morning we checked ketones and they again showed a moderate amount. Her fever spiked to 103 and she was miserable for a while. She's not hungry, but drank some juice and has asked for water a couple of times. I'm thinking either ear infection or strep throat- but Jeff couldn't see any spots in the back of her throat when he looked last night. Obviously, something is not right and I think she probably needs to be on antibiotics. So.....we're headed off to the urgent care center this morning. I'll post an update later!