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Re: [IP] symlin

 I have a delayed stomach emptying (without symlin) for the evening meal, and
also often work out on the exercise machines while watching TV right after
supper. If I'm low before supper, a square wave of 4 hours or more duration
seems to work.
On May 8, 2011, at 11:21 AM, Julia R wrote:

> Maureen,
 > I think the square wave would prevent lows within the first two hours and
 > with the highs after that. I think the insulin given before the meal would be
> the insulin causing the lows right after eating and the lack of more insulin
 > as you need it after eating according to the slow digestive action time
> by Symlin would cause you to go high a few hours later.  I had a low when I
> first started Symlin from giving all my insulin up front.  Because the Symlin
 > was holding the food in my stomach, eating did not bring up my blood sugar
 > I spent an uncomfortable evening of being in the 30's for several hours. When
> I started delaying about half of my dose my using the dual wave bous, I no
> longer had lows after eating and was able to keep steady over time.  If I am
> low before a meal, i give all the insulin as a square wave instead of doing a
> dual wave to give my blood sugar some time to rise before encountering a big
 > hunk of insulin. Maybe you could do more of an extended dual wave so that you
> were getting just a little at a time.  Of course YMMV, this is what works for
> me.
> Julia
> Maureen wrote:
> I don't use the square wave with symlin because I don't want to go low. I
> give the 1/2-3/4 dose of insulin and then the symlin. There is no rise in BG
> for two hours. If I have any more insulin working (square or dual wave) I go
> low. Then at 2 hours (on the clock really) I give the rest of the insulin. I
> have only been doing this five weeks now so I think I have much to learn. It
> is possible that the square wave will work. I just don't want to go low
> after a meal and have to eat more. I have only had a little nausea and only
> when I go to a higher level of symlin. I am wondering now if I should go up
> to the 60 mcg, but haven't tried it yet. 45mcg seems to work for me. I do
> think you need the CGMS to use it because you need to see how it is
> affecting the BG's. I did lose 5 lbs which I long wanted to lose so I am
> happy about that. It is a bit of a pain giving shots after being on the pump
> 8 years, but it is not awful with the pen. The insulin and symlin cannot be
> mixed at the present time because the different ph will cause the insulin to
> clog up in the tubing.
> Maureen Helinski
> email @ redacted
> .

Sue Ann Bowling
email @ redacted
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