Thanks for writing in.
Stressful conditions like the one you are facing can cause sugars to increase and go out of control in diabetics. With ketones in urine and sugars this high I would advice you to report to ER as soon as possible. Uncontrolled sugar levels can interfere with you healing as well.
Hope I have answered your query. If you have any further questions I will be happy to help
Dr. Om Lakhani