I read a lot about the danger of going low from Symlin and then having a hard time getting blood sugar
back up. So as I titrated my dose up I was very cautious but I had no lows at all. I discovered that I felt
nice and full if I took the Symlin 20 minutes before I ate. I wondered if Symlin's cautions were just more
of the medical profession's over-cautiousness about lows. I started on my final
dose of 120 mcg 3 days ago and have had much better post prandials but no lows...until tonight!
I took my 4 hour lunch pp at 5:45 and I was 80. I was watching the news and finishing up dinner and
I took my Symlin 20 minutes before dinner would be ready. Then a little
before 7 when I started feeling crappy. I took my blood sugar and I was 38! Normally when I'm low
before dinner I just go ahead and eat and hold my insulin until my bg comes up. I really didn't feel like
eating glucose tablets before the yummy chile rellanos I spent the day making, but 38 is crazy and I felt awful so I took two glucose tablets and then ate. I took my blood sugar several times after dinner but I
stayed in the low 50s until 9:30 when I finally made it to 73.
So yep, I think at 120 mcg I need to take my Symlin right before dinner. Just thought I'd share this since I had mentioned on here doing the Symlin 20 minutes before my meal and I didn't want anyone else to
follow my lead! There's so little info about Symlin out there that I think it's important to share our
experiences.