<qa>  What is the cause of the low blood sugars?Studies performed in adults have shown that adding amylin in T1DM, using pramlintide, 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, pramlintide in adults is given as a separate injection from insulin, before meals, three times a day. When given as a bolus shot one dose shot given all at once to children and young adults, it seems to cause immediate low blood sugars after a meal. The low blood sugars may be caused by the slowing down of food digestion by pramlintide. Another possible cause of the low blood sugars may be the way pramlintide is being given bolus shot versus a dual wave infusion. 