My son is 4 1/2 and is ill right now with fever of 101F. He had vomitting earlier and diarhea all day. He is also under investigation right know at the children's hospital for a rare genetic metabolic disorder called SCOT deficiency. He does have ketones in his blood right now (0.3ml/moll) which is not that elevated, but he's done this before and I know they will climb quickly in the night because of his fever to close to 6.0 ml/mol. No doctor has given be clear cut anwser as to when I should be my son in to treat the ketosis. And when he's sick like this with, what we think is a stomac bug, he's very lethargic and generally isn't well. What is your suggestion when it comes to a "cut off" for ketone levels to seek medical attention? Thanks