I'm absolutely shocked at how rude you are being to people who are just offering (good) advice.. You might want to step out and look at this thread sometime later. But you know, I'll give you my own interpretation of the CDE's advice. I'm almost certain that the CDE meant that if you run her lower then she WILL have lows. Hence running her lower does mean letting her have lows, since lows are an inevitable by-product of what she wants you to do. That is definitely not the same thing as giving her a load of insulin and watching her drop to 50 and keeping her there.. it's not about causing individual lows specifically, but by causing something which will mean lows do happen, as a by-product. I know that you know that an 8% a1C is not cause for mass hysteria, but an average BG of a little over 180 is high enough that with a CGMS you might be able to get it a little lower. Personally, I'd start correcting her down to at least around 130 overnight. Being 130, especially with a CGMS, there is enough room if she drops a little.