| how often is she testing?
I founf that because i suffer from DP I need a different kind of insulin for the night and one for the day and then yet another for meals. If she is spiking like that before diner, I would think her basal levels are off or she has been eating something that is not being accounted for. Like OJ will make you spike like that. see what she is consuming in the afternoon.another possibility would be to change her eating times. I have found my BS is best when i stay on a eating schedule earlier in the evening - I shoot for diner between 6-7. when i eat later my numbers are always harder to control.
just some food for thought.
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Ritch
Diabetic Foodie 
Type 2 since 12-2001
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