A quick update regarding the Symlin Experience.
I have lost 8 lbs in just over a week. Too fast a weight loss, I think - and one strictly related to the fact that this stuff totally decreases appetite. I am lucky if I can eat the two meals a day at which I take the Symlin. I fit in fewer than 1,000 calories - and I'm not hungry at all. So, the losing weight part is working, for sure. But, it's got me thinking; do I really want to be on another medication indefinitely? I don't know. I need to talk this through with nurse at my next visit (next Monday, which happens to be my 33rd Birthday.)
My insulin sensitivity has been increased all-around. I have gone from taking between 30 and 45 units per day to taking between 20 and 30 units - more often than not, the intake is in the low 20s, where it was typically in the high low 40s before Symlin. OK news, I think. At mealtimes with Symlin, my insulin to carb ratio is at 1 to 45 or 1 to 60, at mealtimes without Symlin (which, because of the aforementioned decrease in appetite, are rare) my insulin to carb ration is at 1 to 40. My basals have decreased at all times of the day.
But, the adjustment continues. I have had more sugars over 200 and more under 50 than I'd like to be having and I've had to call the doctor at least once everyday. And, because I'm letting the doctor take the wheel - following instructions and only giving my opinion if I feel like he's got it totally wrong - I'm feeling a bit helpless sometimes. It seems like we've got the morning under pretty good control... (Ie, yesterday: 118 before breakfast, 121 one hour after, 130 two hours after, 128 three hours after - today: 128 before breakfast, 121 one hour after, 116 two hours after...) than the afternoon has to come; I've been shooting up into the 160s-250s after lunch and not coming down -- only to swoop into the 50s before dinner, swoop up again after dinner and than plummet in the later evening hours... Yikes.
So, it's working - and it's not working. I'm still feeling slightly overwhelmed.
On a side note - I didn't write anything about last weekend, because I pretty much took the weekend off. With the wedding and the driving and the memorial service... I just couldn't deal with another variable... I have started a post, to fill you all in on how the offtime went (not great) - but it's slow in coming and work is busy...
More to come.