Hi, thanks for using healthcare magic
is a progressive illness and persons may move from control with lifestyle changes to requiring one medication to requiring increased doses to insulin
This is because the part of the part of the pancreas
that secretes insulin finds it more difficult to do so.
The goals are a fasting and premeal blood sugar of 70 to 130 and 2 hr post meal of less than 180.
The fact that the readings are still elevated may mean that she requires a short acting insulin to control her blood sugar increases with her meals. The insulin she is presently using is a basal insulin meaning a insulin acting in the background, it will not help with her meals.'
A short acting insulin can be given before each meal to reduce the post meal readings.
It is also important to look at what she is eating because excess carbohydrate
intake would lead to increased blood sugars. You may want to speak to a nutritionist.
I hope this helps