# How do you deal with dawn phenomenon on MDI?

**URL:** https://forum.fudiabetes.org/t/how-do-you-deal-with-dawn-phenomenon-on-mdi/5645
**Category:** Treatment
**Created:** [November 28, 2018, 12:40am UTC](https://forum.fudiabetes.org/t/how-do-you-deal-with-dawn-phenomenon-on-mdi/5645 "2018-11-28T00:40:39Z")
**Posts on this page:** 1
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### Author: ![jag1](https://avatars.discourse-cdn.com/v4/letter/j/ed655f/32.png) [@jag1](https://forum.fudiabetes.org/u/jag1)
#### Post date: [November 28, 2018, 12:55am UTC](https://forum.fudiabetes.org/t/how-do-you-deal-with-dawn-phenomenon-on-mdi/5645/2 "2018-11-28T00:55:41Z")

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> [@Medtronic certified pump trainer killed by own malfunctioning pump](https://forum.fudiabetes.org/t/medtronic-certified-pump-trainer-killed-by-own-malfunctioning-pump/5640/22):
>
> Side question (I might have to split this 🙂 ): how did you find a way to deal with dawn phenomenon on MDI?
> 
> I used to set an alarm at 5:00am for that when we were on MDI (for an early treating bolus). I never liked it because I had a hard time going back to sleep afterwards when it was summer and the sky was already light

For me it is about timing. I split my Levemir into two injections a day, and take an equal amount for the two injections. I take my morning shot when I wake up (about 8am). I tried taking my evening shot 12 hours offset at around 8pm, but that was too early, and I would wake up with dawn phenomenon (high blood sugar) pretty much every day. So instead I tried taking it later and later and finally settled on taking it at 11:30 PM (I set my cell alarm to go off every night - it warns me to take my insulin and turn on Steven Colbert). I imagine some of my dinner insulin is covering the morning Levemir that is wearing off, but that is easy since I’m taking a bolus then anyway and doesn’t lead to any lack of coverage.

If I wake up really late for my morning shot then my BG will have gone up, and even with the alarm I will occasionally forget my evening insulin, so it isn’t foolproof. Which is why I’m very curious to try Tresiba. My first endo appt in several years will be next week now, and I have a pretty long list of things to get (CGM, Tresiba, Fiasp, Afrezza, … anything else I should add) 🙂

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