Kayli just had a little bump in the road. Her blood sugar level was a little too low, so the resident and dietician are giving her a dose of apple juice to increase her sugar level. With the Ketogenic diet, we are trying to switch her metabolism from running off sugar, to running off Ketones. So while it is good that her sugar levels are going down, it is a slippery slope to make sure her levels don't go down too quickly (before her Ketone levels are up).
Kayli's blood sugar level is at 44. If she gets down to 30, it is dangerously low. The lowest she should be right now is at 45. Her transition schedule has not changed, even though a small adjustment needed to be made.