 Studies in adults have shown that amylin lowers the high levels of glucagon made after a meal. This results in improved after meal high blood sugars and overall blood sugar control. Currently, the drug is given as a separate shot from insulin. When given as a shot one dose shot given all at once to children and young adults, it seems to cause low blood sugars right after a meal. The slowing down of food digestion may be the cause of the low blood sugars with pramlintide use. Another possible cause of the low blood sugars may be the way drug is being given instant shot versus a slow infusion through a pump. 