| Same thing I had basically thie same thing when I was on MDI. No matter what I ate I spiked, even if carbs were down around 25-35. My spikes were 200-300 range. I took my Lantus in the evening, but that probably didn't have much bearing on things...but I went on Symlin to control spikes. I gotta say it worked great. I'm T1 and skinny and it didn't hinder my appetite, nor make me nauseus. Spikes smoothed out in a week. I halved my bolus to begin with, but had to work back up to my old carb ratio. I stayed on it for 3 months till I went on a pump. Now I still fight spikes, but keep carbs for breakfast low, and bolus twice per meal if needed.
Joe
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"Quod me nutruit me destruit"
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