I was never very good about checking 2 hours after a meal. I know though, that I could eat lunch, and if I didn’t snack in the afternoon, by the time I got home from work, and was ready for dinner, it was usually in the 120 range…no bolus. Now that I’m paying closer attention to things, I see that if I take no bolus, and 15mcg symlin, my bs first drops by 100 points or more, then slowly creeeps up at about the 3 hour mark. After that, it will climb to about 300, and hang on for a couple hours, so I’ve been cautiously adding insulin as soon as I see it start to come back up…2 units at a time. I realize this is treating things after the fact instead of being proactive about it, but I’m scared of a severe hypo.
I keep going back to my original theory that maybe my Lantus dose is higher than it should be. It seems to carry a good portion of my carb burden, and I know it’s not intended to do that. But how can that be, if I’m not having hypos at night, and I’m waking up in good shape, most of the time?
I remember the old days when your basal dose ran the show. You tailored your day around it, and it took care of you, if you followed the rules it set out. I think I’ve had a hard time coming to terms with being personally responsible for everything I eat.
I didn’t see your post until after I’d read Jasons regarding the CGMS. I had no idea this was available to me, and I will check it out at next appt.
This has been an intense “reaqauintance” for me, and it seems that the more I learn, the less I know. Thank you for your help!
yea, that 2hr number might be a good indicator of whether you are insulin resistant or not. If you are not resistant, then the symlin would definitely drive your numbers down and those 300 number sound very much like a rebound effect from the low.
Like I said, I’m not a doctor, but if it was me… I would stop the symlin, religiously check my numbers for a week or so and see what is going on. By religiously, I mean morning, 2hrs after breakfast, lunch, 2hrs after, dinner, 2hrs after, bedtime and then at least once or twice in the middle of the night.
That’s probably very sound advice…stopping and doing some intense checking.
I’ve never considered being resistant to insulin…so many things to consider after all this time. I feel like I’m just waking up, and sometimes I just want to pull the covers back over my head and go back to sleep!
insulin resistance is what symlin is designed for, that is why the alarms went off in my head when your doc had you try it for weight loss. If you are not resistant, symlin will put your numbers in the basement
