A 45-year-old female with type 1 diabetes has been struggling with managing her blood glucose levels, particularly in the early morning. She experiences elevated blood glucose levels in the morning, even though she follows her prescribed insulin regimen. She reports that her blood glucose readings are higher than expected upon waking up, despite not eating overnight. The nurse reviews the patient’s insulin regimen and notes that the evening dose of insulin is properly timed. The patient does not recall episodes of nighttime hypoglycemia but mentions waking up feeling fatigued. What is the most likely cause of this patient’s elevated morning blood glucose levels?
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