How can I manage dawn phenomenon if I am an athlete with diabetes?

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Phil Southerland
Healthcare
I had this problem for a six week period in my life when I was training for the Race Across America in 2007. I could wake up with a blood sugar of 80, and the second I got moving or put anything into my body – if I drank a cup of coffee – my blood sugar would be 200. It was extremely frustrating. I was doing a lot of insulin to compensate for anything I ate in the morning. It’s about working with the doctor to find out how much you need to increase your basal rate from 3 a.m. to 7 a.m. to get the metabolism moving faster so the dawn phenomenon is less problematic. When I was having the dawn phenomenon I was averaging 22 hours a week on a bike, and it was a lot of intensity. I kept making adjustments until I go it right.