Last night's two hourly observations paid off and I was able to prevent ketoacidosis by giving another injection at 3am when his blood glucose was rising. As a one off this method of management is doable but it is not workable as a long term solution, hence our reasons for restarting the pump therapy.
Pump therapy itself is not without complications and when we last road tested the system we encountered numerous complications and his diabetes still remained unstable. It is now half past midnight and I have just checked his readings which are currently 19.6mmol, a bolus correction has been made via the pump and I now have to wait an hour to ensure that, his blood sugar levels have dropped. If that proves to be the case then I can catch some sleep and recheck him around 4am, if not then I will have to assume that the pump has occluded and will need to re-site another cannula elsewhere on his person. Since the pump only uses short acting insulin in bursts occlusion is a very serious problem and if left unchecked ketoacidosis and coma can occur very quickly.
On a positive note his blood sugars showed considerable improvement from mid afternoon to bedtime. I'm convinced these higher readings throughout the night are due to a growth spurt and judicious resetting of basal rates should rectify this problem, Please God.
A clever bit of marketing... their motto is "live more, worry less" I'll believe it when I see it!