| I started Symlin last Friday. My endo has me following a pattern that her office wrote up...
Days 1-3: 2.5U 15 mins. before every 30gm CHO meal (up to three times a day)
Days 4-6: 5U " " "
Days 7-10: 7.5U " " "
Days 10-15: 10U " " " and reduce insulin bolus to half of normal
Days 15-20: 15U " " " and reduce insulin bolus to half of the above rate
Days 20 on: 20U " " " and reduce insulin bolus to half again (or 1/4 of normal)
She also gave me her email address and cell number in order to call and let her know if I'm overly sick or my adjusted boluses aren't quite correct. However, I'm doing good thus far. Have had a few highs, probably from not waiting an entire 15 minutes sometimes...I'm not used to having to bolus and then wait to eat. When I'm hungry, I'm *hungry*!
Now, she's only having me go to 20U because I want to lose weight. She's giving me two years to get to my "goal" weight, and then she wants me to back off the Symlin to 10U for those over 30 gm meals.
I did find it interesting to read in the Symlin patient info box that most Type 2s are started at 10U. Why is that? Less possibility of hypos? I'm confused! |