?m a bit confused. My husband doesn?t seem to have problems with ketones unless he?s >700 (of course this was when he was first dx). He can run 500 or so and not have ketones. I?ve read a few posts about pumpers having ketones with readings in the 300?s. Once he gets on the pump (to arrive tomorrow-Yeah!) will he become more prone to ketones then when on MDIs?