Matt was programmed for the same basal rate 24 hours/day when his pump was first given insulin last week (was pumping saline in week #1). We quickly found that, although the daytime number was fine, the nighttime was not high enough. We bumped it up one step, nothing. Two steps, nothing. And unless he had a fat spike or an adrenaline spike (late football practice), then I think three steps isn't enough. The initial was .125/hour and now we are at .2/hour. We have Matt receiving more basal from 10PM, as his blood sugar starts to rise soon after he stops moving and falls asleep. I am curious to hear how different your daytime/nighttime rates are, as well as when you start bumping up the insulin to account for the pre dawn phenomenon.