IUFD - Incr. This is blood that is being shunted away from other developing organs, causing delayed maturity of other organs, most of all the lungs. This is why you must always a check the FLM of the fetus. The shunting of blood can be so severe that it results in IUFD . However, if mom falls into class D and below, she probably has such bad microvascular disease, the placenta doesn't get good blood and oxygen supply to the fetus resulting in IUGR .
Regular insulin is shorter acting.
If the PPD is high, increase the PM Reg. FBS should be 90. You ask her to increase her PM NPH assuming that this will bring her AM FBS down. This is the Somogyi effect. Therefore, it seems as though this patient's PM NPH is not high enough.