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May 27th, 2012
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It's ironic that even the most obscure things we hope for can come true. I can't tell you how many times I've thought to myself how much easier it would be to lose weight (or manage my blood sugar) if I could just completely lose the desire to eat or if I could feel just a bit queesy all the time to discourage my mindless eating habits.
In contrast, I can't tell you how many times yesterday I said, "I'm not taking that damn medicine anymore." (READ MORE)


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There was fog when I walked from the parking lot to my office. I thought it was the bright sunshine. Or the warmer temperatures. Or the jacket I was wearing that was making me feel so warm.
I was disconnected, but thought it was from the conversation I had just had with The Mr.
I wanted junk food. Something smooth like chocolate, but not crunchy like cookies. I walked to the vending machine and gently fed it money until it dropped a Milky Way.
Walking up the stairs there was more fog. I thought I was tired, overwhelmed with life issues. I briefly sat at my desk, logged in to my email account. Symlin rushed me to the bathroom, where I lingered longer than usual. Fog.
Washing my hands, I looked in the mirror and it was almost as if I were watching myself on TV. Like I wasn't really there. There was a narrowness to my vision. (READ MORE)


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This morning was the first in the roughly two weeks that we've been in our new house that I actually had time to sit down at the kitchen table to eat a bowl of oatmeal instead of quickly slapping some cream cheese on a bagel and scarfing it down in the car during my one-hour commute. Let me tell you, bolusing while driving is not easy.


 

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Nausea? Check.
Potty problems? Check.
Lack of appetite? Check.
Feeling full? Check.
Happy with Symlin? Check.
I know, you think I'm crazy, but really I'm not. Promise.
This morning I clicked up to the highest Symlin dose--60 mcg. And by lunch you know where I was. But, at least that aspect is subsiding some. I'm starting to realize more consistently what I really wanted from Symlin: the effects on my appetite and desire to eat.
Most mornings it's a struggle to choke down my oatmeal breakfast. And even more of a struggle to convince myself to have a snack mid-morning. Sounds miserable, you say? But this is a drastic change in my habits pre-Symlin. Lunches and dinners I'm seeing similar benefits, namely eating much, much smaller portions and not snacking before bed. Oh, get this: The Mr. suggested we go to Dairy Queen last night for some ice cream and I was nauseous just thinking about it. (READ MORE)


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Yesterday I revealed to the world that Symlin is giving me tummy trouble, to put it mildly. Just for grins, I got on the scale this morning and I'm down 4 lb. since the weekend. Most of this, we can assume, is, ahem, water weight (bwahahahaha!).
Yesterday was better than the day before, but today has been worse. I'm not nauseated and my appetite continues to diminish, but my tummy is making terrible gurggly noises and sending me to the potty more than I'd like. At least once today I thought about emailing Dr. C to tell him I can't handle it anymore and that this is no way to live or lose weight. (READ MORE)


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I'm officially off Symlin. I was on the fence for a while, but I'm definitely done with it. I have a brand-new Symlin pen with pen needle attached sitting in my purse waiting to be used. It's essentially wasted now. I'm OK with that. I don't like to waste money or stuff (I'm such a pack rat), so this is really a big step for me. You'll remember when I did pretty much the same thing toward the end of my Byetta run.

 

The two main reasons are this: I'm tired of the tummy trouble and I eat even when I'm not hungry. The last roughly month of not taking Symlin have been mostly tummy-trouble-free. And it's been a nice change of pace, frankly, to not be constantly wiped out from having diarrhea. Going shopping -- going anywhere, really -- was also taking a chance on having to find a bathroom in an emergency. With three kids in tow. And did I mention it's not fun to rush to a PUBLIC bathroom?

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I spoke with my pediatric endo today about my new diabetes community venture. First, I want to give a great big thank you and shout out to him. He is doing amazing things in the diabetes community. Thanks for being the best doc and putting up with me, Morey!

 

We talked about new treatment options that are coming into play. One of the ones we discussed is using the hormone amylin to control postprandial blood sugars. Amylin is a naturally occurring hormone produced by the beta cells (the ones that produce insulin). The body gives amylin with insulin when glucose is consumed. They have found that low levels of insulin are typically accompanied with low levels of amylin.

 

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I'm currently recovering from a fairly unexpected blood sugar of 49. It's the lowest I've been all week despite battling a multitude of lows. It really doesn't feel good. Especially after I've just finished an intense Jillian Michaels' workout (30 Day Shred) and just had to guzzle Coke and snacks.

 

Even before starting the Symlin on Tuesday evening, I was having lows at two odd times of the day. Morning and early evening after work. I'd wake up lower than I'd like, spike through the morning and afternoon and drop low almost immediately after leaving work. Symlin has only complicated this issue.

 

Today was the worst low of them all. After watching the Dexcom sit above 200 all day long, I had a salad with waffle fries for dinner. I bolused for the 204 prior to the meal on top of the fries and chicken. Then I decided to drink a Coke. 10 units of Humalog. An accurate bolus.

 

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I started Symlin at 15 mcg last night at dinner. I had leftover meatloaf, mashed potatoes, and green beans. Approximately 60 carbs with a high protein content. I started off a little low at 80. Alongside the Symlin, I took 5 units of Humalog. This was about 2 less than I would normally take.

 

Marvin brought me an unexpected ice cream treat after dinner, which I didn't bolus for because I was still showing and feeling on the low side. I ate about half (30ish carbs). My Dexcom sensor showed me to be rising slowly so I sat back and watched what the Symlin was doing (if anything).

 

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Today, I was supposed to raise my Symlin from 30 mcg to 45 mcg. Instead, I'm keeping it at 30 mcg for now. Since I've raised it, I've had some severe nausea and that lightheaded feeling that I hate so much. Especially after dinner.

 

From what I've read, it's best to stay at the lower dose if you're experiencing nausea and give it a few days to subside. I suppose I will just stay at 30 mcg until I'm not experiencing such intense bouts of stomach pain. I don't want to delay the results of the higher dose, but I also don't want to end up worse for the wear because I'm unable to finish meals, keep meals down, etc.

 

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Lindsey Guerin
Lindsey GuerinLindsey is a typical, yet unique, Texas girl who loves shopping, movies and reading. She loves to travel and take risks. She dreams of diabetes cures, never-ending cheesecake and her own airplane. The rest you can discover in her blog! (Read More)
Michelle Kowalski
Michelle KowalskiMichelle Kowalski, a writer, editor and photography hobbiest living in Phoenix, was diagnosed with Type 2 diabetes in February 2005. In January 2008, as part of her quest to start on an insulin pump, Michelle learned that she actually has type 1 diabetes. (Read More)
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