[Cyborg]

The problem with Symlin is that is slows digestion. For someone on a pump, this is not a problem. I had a CGMS when I started Symlin. A simple 50/50 combo bolus over 2 hours works perfectly for me. On MDI, you may need to split your bolus into 2 boluses to avoid going low.

On another note, I have found that I need the same amount of insulin and that the Symlin does not decrease the overall amount needed to cover my meal. I just need to bolus differently.

[ricknhouston]

yes it does go away ... somewhat! :>)

[solox316]

Originally Posted by Cyborg

Your doctor should be following the manufacturer's recommendations. A type 1 typically starts at 2.5 units and when you get used to it without nausea, you add another 2.5 units. You repeat this until you reach the max. recommended dosage for a type 1, which is 10 units. The whole process may take weeks and you may never reach the max dosage.

What you wrote here is exactly as it was explained to me, as does the packaging and startup kits...

I am shocked to hear so many people starting right at 10units! The first time I used it, I never made it above 5 units. I eventually stopped coz I was sick of using a syringe and vial again.

I just picked up a symlin 60 pen today, and plan to start again... at 2.5 units (15mcg), then 5 (30mcg) after a few days... Hopefully it will be easier to carry the pen around instead of syringes and whatnot...

On the type 1 type 2 thing... My nurse prac says the symlin has really shown to work best with type 1s, and the byetta has shown to work best with type 2s.

[solox316]

Started my new pen last week, up to 5 units now. It is quite the amazing addition to my care...

Last night, with pizza, bread, and salad, michelob ultra... over 100 carbs, never went above 150 (hung mostly around 120) the rest of the night, and woke up perfect...

breakfast this morning, waffles and syrup (i know, two really carby meals in a row...) never above 130.

I haven't cut back my insulin with this, which you are supposed to. Will continue to see how it works out. I never made it up ao 7.5 or 10 units last time, too much nausea... we shall see.

[dgrilli]

I use Symlin and Symlin will cause a massive drop in blood sugars that fall faster then a Lead Zeppilin like a rock.

I started on 2.5 and went up from there with as upping the dose of Symlin I'm backing of the Insulin.

It come to a point that the Symlin does not even work til the insulin is added.

So a 20unit shot of Symlin and a 20unit shot of Insulin would be enough to take me down from over 400 to 100's withing 20 minutes.

So I'm very careful about this stuff it works real good with injected insulin. It doesn't seam to do much without Insulin though.


Great Secret weapon if I go high like My inset stopped working while I slept. Then it's time.

Tried it with Pizza one night not a good thing, try forcing yourself to eat and drink and take honey when it;s that last thing you want. One good thing the half life its not so long with me about an hour and half.

Good stuff if you can get right.