UPDATE The Doctor finally got back to us and suggested new ratios. 1:18 carb ratio and 1:3.5 (1:65) correction factor. These don't make a lot of difference since we can only give increments of 0.5 units with his insulin pen but we'll give it a try. They don't want us to change the basil from his current 9 units 2xday and they didn't suggest to eliminate his uncovered snacks. Last night he rose throughout the wee morning again and I had to correct him at 4AM. So, this will be our new routine if he continues to rise. We see her in the office again Jan 9th, so I'll talk to her then about the uncovered snacks, Regular insulin and NPH, and if there's some way we could manage to get a pump. Thanks to everyone who gave advice on our problem. This forum is great!