06-01-2010 09:52 PM
06-04-2010 01:54 AM
I encourage you to make a daily diet sheet and write down what you've eaten. BE HONEST. Don't exclude the bag of popcorn from the movie theater because, hey, it was a treat and I don't really want anyone to know about it because I don't want to deal with the scolding (shame on people for scolding an adult anyhow! ). Weigh and measure everything (and I do mean everything), use the labels on packages as a guide to how many calories and carbs you're eating, and if you're eating something without a label, use a service like CALORIE KING to determine calories, carbs, fats, protein, etc. Don't forget to add in your exercise regimen and try to be as accurate as you can with that, too. Write it down, add it up, then look at what's really going in to your body. You might be surprised. I know I was when I did this (thought I was eating around 1800 calories/day, but turned out it was closer to 1200-1300 -- big difference).
If that doesn't help you figure out what's going on, then I'd talk to your doctor. FWIW, I checked out the health care provider section of the symlin website to see whether there were any reports of edema (fluid retention) associated with symlin (there aren't). However, I did find something very interesting: Symlin does NOT lead to major weight loss (i.e. more than 10% of starting body weight). If you check out THIS PAGE, you'll see that for both type 1s and type 2s using Symlin, both groups lost only an average of just over 6 lbs. When you check out the prescribing information (pgs. 7-8), you'll see that both type 1 and type 2 patients lost only around 2% of their body weight over the course of 6 months. The people on the show The Biggest Loser do better than that in one week during their first few weeks on campus. So, if your endo prescribed Symlin to you as some sort of miracle drug that "magically" cause you to lose weight, perhaps s/he needs to read the prescribing information a little more closely and listen less to the drug rep's hype. Sadly, it's not as effective as it's been touted.
Hope this helps.
06-04-2010 02:52 AM
Last year, I lost 15 lbs with diet and exercise (and then diabetes took care of another 15 - haha!). I reccomend http://www.my-calorie-counter.com/. You can search and log the foods you ate, how much water you consumed and your exercise. It also tells you how many calories you burned while exercising. So, when you do have that tasty popcorn, you know how long you have to walk your dog to get rid of it!
I'm not familiar with Symlin, so I've got nothin' on that one. Sorry!
06-07-2010 05:32 PM
I have been on a 60 mcg dose for about a month now and while I'm not certain I've lost any weight, I do know that it's appetite suppressant qualities are very strong. And the satieted feeling last for hours after eating. I am a type 1 and don't need to lose any weight so that could be why I haven't lost any yet. Plus it's still relatively early in the game for me.
I find it difficult to imagine anyone gaining weight while on Symlin... unless, as i mentioned earlier, you are still acclimating to your prescribed dose. Hang in there, you'll get the benefits soon.
p.s. Are you having many hypos? If so, how are you correcting for them? That could be the cause if you're taking extra carbs to correct for many lows.