| I'd also be dead if I took that much insulin, but I'm not you. Up until recently I was also very overweight but still didn't come close to using that much insulin. I was able to (very easily) lose weight while on insulin. It wasn't insulin that made me gain, but the types I was using. NPH was a killer for me and that's what I was given when I was diagnosed in `987, and I never changed it. Partly because I didn't have insurance for 11 years and partly because I had idiot doctors. Switching to Lantus allowed me to start losing weight and switching to a pump made the most difference.
Do you have a lot of low blood sugars on the amounts of NPH + R that you're currently taking? With an A1c of 10.2 I'm guessing maybe not, but you never know.
Besides adding Symlin to your routine, I'd also ask the doctor about switching to a basal/bolus routine of taking a newer long acting insulin (to replace NPH) and a newer fast insulin before every meal/snack to replace the NPH (like Humalog, Novolog or Apidra).
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Liz
Type 1 dx 4/1987
Minimed Paradigm 722 6/2008 + CGMS
Minimed Paradigm 715 5/2005 - 6/2008
13mm Silhouettes
Lifescan UltraSmart & UltraMini
Last A1c: 10/08/08: 5.6
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