I’m a little confused. Nothing in the Symlin literature says anything about taking your insulin later. What is the reasoning behind that? The only things I understand about Symlin is that it’s a hormone we don’t produce when we don’t produce our own insulin and that it helps insulin to work better, meaning we can take less insulin. Also that it makes us feel full more easily and thus eat less and lose weight. I’m on the pump, so taking a combo bolus wouldn’t be hard, but I usually only do that for high carb/high fat meals like pizza.
I’m also reading in the Symlin literature that we will possibly lower our insulin by 50%. It sounds like yours is not that much of a reduction. I like you don’t take a very high TDD, so maybe that is why our reduction isn’t that high?
The Symlin literature says to take it for meals of 30 carbs or more. My weekday breakfast is less than that, and my lunch sometimes is as well, so I guess I’ll not use it for those meals. To the OP question, I am not necessarily taking it for problems with spikes (though more stability and a reduced A1C is always nice!) but to lose a bit of weight and prevent more gain.