My T1D has been quite well controlled with her new for this school year CGM. Thursday and Friday showed very unusual high readings of 300's and 400's. Friday lunch was 535, her highest. Called mom as I was very concerned, but she said she would deal with it when she got home. Well, two hours before the end of the day, she vomited. The teachers were concerned about a virus, I was concerned about something far worse. Called mom, she was an hour away, but GM was 10 minutes away. EMS is 15-20. I stressed the urgency and was about to go 911 when mom said she got a hold of GM and she was there in about 5 minutes. Hospital is where I work and the mom told staff they could discuss with me. Nurse said her pH was very concerning, transferred to Hopkins emergently. Stated she was probably an hour or two from unconsciousness. Scary part is, mom doesn't understand the scary part of highs, far more concerned with glucoses less than 100. I have asked for ketone strips, as her symptoms manifested within minutes. She used to run in the 300's fairly consistently before CGM, I guess her body was used to it then. I wish mom would understand that highs can kill, too. Now and in the future. Meanwhile, I think our admins are very scared of a world with no nurse given the choking two weeks ago and this.