Blood glucose is derived from food and the liver. If the level is going up during the night, then the glucose is from the liver. The long acting insulin is used to control the liver, and therefore it may be that there needs to be an adjustment to the dose, and if not already, then it may need to be split with a higher dose at nighttime as opposed to the daytime. She does wake up quite late as well, and therefore waking up earlier may also help. Ultimately an insulin pump with basal control will solve the problem
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