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immediate response is a cannula change followed by an injection of a correction dose ( the old pen way )


how long have they been running high ( hours , days , weeks ??? ))

You really need to get in touch with your pump clinic asap and ask for their help in getting your bg levels under control, but the first rule is always to check your basal rates and once you get them sorted you can then look at your insulin-to-carb ratio's and diet, the following has a good explanation on basal testing:

http://www.salforddiabetescare.co.uk/index2.php?nav_id=1007

Just one more thing, you need to be checking for ketones when your bg levels are that high.

I think you haven't been on a pump that long?
You need to do some basal testing and make adjustments first.
You may well find your sets need to be changed for a different type.. Many people started off in teflon ones when steel ones are (for some) better.

If on plastic... Try stainless steel sets.

Do some basal testing.

If you are getting huge, quickish rises in levels. This eould indicate a set failure. However if these are directly after getting up its more likely to be DP.

Do contact your HCP's on Tuesday.