I've really been struggling with my numbers lately. The Symlin has complicated things by causing prolonged highs after meals. My Lantus doesn't seem adequate, although last week it was too efficient. There is just no medium ground with the D lately.

I've finally gotten a few meals on Symlin at 30 mcg without the severe nausea that I was experiencing earlier. I'm not quite ready to raise it to 45 mcg though. I'm hoping for Tuesday if tomorrow shows continued improvement. I know that I can get the highs under control once I have the Symlin straightened out.

The waiting is killing me though. Literally. I hate running high. I hate the way I feel when I'm high like this. The fuzz that won't budge. The thirst that can't be quenched. The nausea that comes up suddenly.

And now, I think the highs are interfering with my exercise routine. I've done really well keeping up with Jillian Michaels' 30 Day Shred DVD. In less than two weeks, I've done Level 1 eight times. I'm aiming for four to five times per week so I'm at my goal right now. But the intensity and my increasing ability isn't happening.

In the past few days, I've struggled terribly through every workout. I'm out of breath constantly, unable to push through like normal, feeling lightheaded, and generally feeling like death when I'm doing the video. I've never put together constant highs with crappy exercise, but it's the only thing that makes sense right now.

I know that exercising while high or with ketones can be very dangerous. So I've waited until I'm under 200 for the workouts. That doesn't seem to help. It seems to be that my body just can't handle the intensity with these highs.

On a positive note, I've definitely lost a few pounds and noticed some better muscle tone since starting the program. I really want to stick with it and not let these highs get in the way of my ultimate goal of weight loss and better health. How do I get there though?

It looks like waiting may be the only option with the Symlin. I trust that it will eventually help if I can get it straight. I just need to push through. Once the Symlin is fixed, I can even out the Lantus to make up or alleviate any of the highs or lows that I'm having.

For now, I guess it's just crappy workouts.