| If you are 150 and can wait at least 10 or 15 minutes after taking your bolus to eat, then you won't spike as high. A reading like 15 at 2 hours isn't horrible, especially if you ate 100 grams of high glycemic carbs. But just giving the insulin more time to get you back to target first could make a big difference. I seriously doubt whether a doctor would give you Symlin because you are so newly diagnosed and still honeymooning. I know that you don't want to do shots. The best thing is to try to eat both low and higher glycemic foods together to balance each other out. If you eat a lot of low glycemic foods, you will probably need to use an extended bolus or you will go low. The people that I know using Symlin have to use the extended bolus with every meal, and they also have cut all of their rates.
The reason that I never consider insulin on board is that there are just too many variables to think about. If your settings are correct, I don't understand why everyone is so concerned with IOB. The contents of the meal and how quickly it is going to digest is different for everyone. Looking at your example of having 2 units on board and ending up with a just tad low number tells me that the carbs may have been a little off, or you may have been a little more active the day before or any number of things. Fact is, that it turned out fine. If you didn't have that info on the pump, you wouldn't be worried about it at all. For a meal like that, the results were fine. It really is a matter of numbers. The more carbs you eat at one time, the more the results will vary. I would not guess that your settings were wrong from that one example.  | 
