I can understand how a doc might think that increasing symlin could reduce the need for bolus insulin. Here's how:
The doc might think, "since symlin acts to reduce overeating by slowing digestion and creating a 'full' feeling, and since I believe that my patient is overeating, hopefully the symlin will cause him/her to eat less and thereby require less insulin to cover the meals."
Not saying I agree with this reasoning (I don't), or that it applies in this particular case (I don't have enough facts to even form an opinion). Just trying to guess the doc's thought process. This might be what the doc is thinking.
The problem David is his doc reduced his basal. Which has NOTHING to do with caloric intake or the reduction thereof. That makes ZERO sense. Sure, his bolus needs may decrease due to, as you mentioned, eating less, but that has nothing to do with his basal requirements.
That said, I have read instances where people's I:C ration has decreased a bit with Symlin assisted meals, but from what Ive read, thats not a hard and fast rule. For me, my I:C ration is the same.
I didn't suggest that it made any kind of sense. I was just trying to extrapolate what might have been going through the doctor's mind. Oh, wait . . . I must be wrong. Doctors never make mistakes -- especially with diabetes. My bad.
