The thing I hate most about trying to manage my diabetes is that it gets in the way of everything. Every time I turn around, diabetes is interfering in my life. Right now, it's the lows. I work out, I go low. I sleep, I go low. I eat, I go low. And what is that doing to my efforts for weight loss? Absolutely the reverse.

The frustrating part is that I have no idea to get around the lows. I'm still having some extreme highs. The lows seem unavoidable. If I change my insulin, the highs will overrun everything. But I can't keep up with these lows.

My day looks something like this:

Morning numbers are tolerable. I'm either running in a great range or a little on the low side but nothing concerning.

Once I eat breakfast, everything goes crazy. I spike easily into the high 200s if not 300s. This is with Symlin, but reduced insulin.

Whether I correct those highs or leave them be, I still seem to drop low in the early evening. This is also coupled by the timing of my workouts which has pushed me even lower in the last two days.

Dinner is a little high, but again nothing concerning. I generally drop before bed into an acceptable range or can bolus a unit of Humalog and see a steady decline over night.

Where is the solution here? Are the lows a delayed reaction of the Symlin? Or just oddly timed Lantus reactions? Do I give the Symlin more time to work?

Right now, I'm at 30 mcg Symlin with a 50% Humalog reduction. I'll raise the Symlin to 45 mcg on Tuesday and keep the reduction at 50%. I know sometimes it's necessary to lower the long-acting insulin when you have lows from Symlin. Perhaps I should try 33 units for the next few days until I get the Symlin dosage right.

I just know that I'm desperate for some even numbers without bouncing all over the place. I'm also desperate to lose weight and diabetes is really not helping. I'm ready for a fix.