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Weight loss injection
- Thread starter Zulekah
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- type 1 cure diet
Oldvatr
Expert
These drugs reduce Glucagon secretion, so any hypo's you get could be more severe than usual.
These meds cause weight loss by two main methods. Firstly, by slowing the stomach emptying they cause a full feeling so less inclination to eat large meals or snacks. They can also make you feel nauseus so again not keen to eat too much. (a severe very low calorie diet?)
Then there is ths glycemic route, which for an insulin user will not produce much help since it relies on a working pancreas. Currently these meds are not licenced for T1D use, so you would have to find a doctor willing to prescribe Off Label.
The true weight loss treatment (Wegovy) can be procured through Weight Watchers. but requires you to sign up for a subscription that is something like £1000 per month.
These meds cause weight loss by two main methods. Firstly, by slowing the stomach emptying they cause a full feeling so less inclination to eat large meals or snacks. They can also make you feel nauseus so again not keen to eat too much. (a severe very low calorie diet?)
Then there is ths glycemic route, which for an insulin user will not produce much help since it relies on a working pancreas. Currently these meds are not licenced for T1D use, so you would have to find a doctor willing to prescribe Off Label.
The true weight loss treatment (Wegovy) can be procured through Weight Watchers. but requires you to sign up for a subscription that is something like £1000 per month.
I have recently started on Victoza and I have not experienced nausea.
Sorry @Zulekah but as a type two I can’t advise you.
sandysan
Well-Known Member
Hi I have been on victoza 2nd week now at 0.6 , i had couple of days with bad stomach ache then i was ok . Yesterday i upped victoza to 1.2mg had bad gutt ache in the night and pain in both side of lungs, i am obese my diabetic nurse put me on this for 2 reasons. 1 to loose weight, the other to help my pancreas to release more insulin,,,,
I'm a worry wart, altho i want to loose weight it scare me to take victoza as it says it could give you pancreatic cancer and thyroud cancer...
I'm not sure what to do.i am type 2
I'm on 2000mg glucophage once daily . And victoza, my blood sugars ranges are in the 5s and 6.2
Any recommendations
Thanks
I'm a worry wart, altho i want to loose weight it scare me to take victoza as it says it could give you pancreatic cancer and thyroud cancer...
I'm not sure what to do.i am type 2
I'm on 2000mg glucophage once daily . And victoza, my blood sugars ranges are in the 5s and 6.2
Any recommendations
Thanks
megan
Well-Known Member
I am type 1 and been on ozempic for about a year. Gradually worked my way up to 1mg a week injection. The most positive impact on my diabetic control in over 30 years! ( I did also start on the t slim pump some months later).
I have felt sick and it's made me more tired than I already was, but I've also lost 3 stone too
I have felt sick and it's made me more tired than I already was, but I've also lost 3 stone too
megan
Well-Known Member
I am type 1 and been on ozempic for about a year. Gradually worked my way up to 1mg a week injection. The most positive impact on my diabetic control in over 30 years! ( I did also start on the t slim pump some months later).
I have felt sick and it's made me more tired than I already was, but I've also lost 3 stone too
I have felt sick and it's made me more tired than I already was, but I've also lost 3 stone too
Zhnyaka
Well-Known Member
May I ask a stupid question? Why is ozempik needed at T1? As far as I know, T1 is a contraindication for this drug
Have you experienced any lows? Did you adjust your Basal rates or Insulin/carb ratio when you started on Ozempic? I’m very interested, as my Endo just prescribed me Wegovy, which is the same thing, She did that since I’m T1, although I took Invokana years ago off label. I’m not sure if I want to take Wegovy. I recently lost 21 pounds on my own, but have hit a plateau. Oh, does it cause constipation? I’m already having that problem.
Oldvatr
Expert
According to DUK (the other lot) use of Ozempic or Wegovy both are associated with an increasesd significant risk of worsening retinopathy.
www.diabetes.org.uk
According to one study, insulin users were affected worse than non users.
the story about T1D on insulin pump therapy using Ozempic to improve glucose control is based on a single person study (n=1)_ and was not a proper;y conducted trial. They used CGM to monitor an elderly womsan wile she was receiving Ozempic.
Ozempic and weight loss: the facts behind the headlines
You may have read about the drug Ozempic and weight loss in the news recently. Read about how it works and when it is appropriate as a treatment.
According to one study, insulin users were affected worse than non users.
the story about T1D on insulin pump therapy using Ozempic to improve glucose control is based on a single person study (n=1)_ and was not a proper;y conducted trial. They used CGM to monitor an elderly womsan wile she was receiving Ozempic.
Oldvatr
Expert
Here is anothe undocumented side effect of these medications
www.medicalnewstoday.com
What is "Ozempic face" and how can people avoid it?
What does the term "Ozempic face" mean? Read on to learn more about the potential facial symptoms of using Ozempic and how to try and prevent them.
www.medicalnewstoday.com
Oldvatr
Expert
Wegovy is the same active ingredient as Ozempic, but is given at greater than twice the strength of Ozempic. It is aimed at non diabetics for weight loss. I am not sure if your endo is aware of this, and it could give rise to complications. Wegovy is not a diabetic drug. Ozempic is licenced and tested as a diabetic drug, but only for T2 D and is contraindicated for T1 D. Until that changes then you will be using wegovy Off Label, and will not be covered for the normal support and legal liabilities. Beware.
I haven’t gotten it filled yet, so I don’t know the dosage., but the the Endo is very familiar with it. She’s a noted Endo at a major teaching hospital who focuses on the treatment and study of diabetes. I also am reading of other T1s who are taking it, but that doesn’t mean I will take it. I’m exploring all the information that I can. I’m extremely prudent about medication. I appreciate your concern.
megan
Well-Known Member
From my understanding the ozempic may have helped me by stopping my liver from chucking out glucose in a very unhelpful manner. I've lived with brittle diabetes type 1 with type 2 symptoms and insulin resistance and weight gain and having to take insulin even when I've only had a green salad ( this has been dismissed by some as the truth as they don't see why I'd need insulin for a no carb meal but I live with it and Ives no reason to make this up.... an issue past medics have been problematic over. It seems they must have come across diabetics who lie and when the evidence doesn't fit what they have in their text books then the patient must have made it up!)
What ever it's done my blood results are vastly improved and I'm very happy about that
What ever it's done my blood results are vastly improved and I'm very happy about that
megan
Well-Known Member
I am also on a lot less insulin, got down to 33 units novorapid in a day on some days in the month. I've always been 55-65 units a day and upwards.
The only other time I needed less insulin was when I was on the antibiotic clarythromycin for a week on the two occasions I took it. My insulin dropped by a third in a week. My dr looked it up and said it had one very rare side effect which was severe hypos. Well what would have happened if I hadn't reduced my insulin?? I did ask at the time if there was a similar drug that I could take that would regularly have this effect.... they said gliclazide, which I tried for 6 weeks but it didn't do anything.
The only other time I needed less insulin was when I was on the antibiotic clarythromycin for a week on the two occasions I took it. My insulin dropped by a third in a week. My dr looked it up and said it had one very rare side effect which was severe hypos. Well what would have happened if I hadn't reduced my insulin?? I did ask at the time if there was a similar drug that I could take that would regularly have this effect.... they said gliclazide, which I tried for 6 weeks but it didn't do anything.
Oldvatr
Expert
Glad you have not had any bad experiences with the med. The T1D bar is there becuse all the SUSTAIN trials were with non insulin T2D as the test cohort, so the effect that insulin has is not really covered. the med on its own will reduce bgl down to 'normal' levels, but then self limits (normally) but in conjunction with a hypoglycemic med may produce deep and prolonged hypo's due to the reduction of glucagon levels. So any insulin user taking these GLP-1 meds need to be able to reduce insulin appropriately to avoid hypo. (i.e. there may be an increased risk of hypo and untl they test these meds with insulin users, this is conjecture.). Going Off Label therefore has these risks and it seems no warnings from the HCP's in this respect.
PS Gliclazide does not work in cases of severe insulin resistance. the pills need to be taken just before a meal since they only work while the non med GLP-1 is active( i.e. the pancreas is pumping out in response to the meal). The GLP-1 meds upset this mechanism, so again Glic will probably have no effect if taken with those meds. As a Glic user myself, I was maxe'd out on it with other diabetic meds, and had bgl running above 20mmol/l due to high IR. I altered my lifestyle and reduced my IR substantially, and now my one 40 mg Glic tab can drop my bgl by 4 mmol/l without working hard.
I bolus for things like plain coffee or pure protein all the time. My CDE is also T1 and she told me she does too. My BG will rise even if I have have nothing but water, which is why I like my pump in auto mode. I don’t use much insulin though, like around 25 units of Novolog per day. I’m not against carbs, but have about 100 per day. This includes those I assign to proteins and fats, even though they don’t actually have carbs. I count a cup of coffee as 10 carbs. I put a splash of almond milk in it.From my understanding the ozempic may have helped me by stopping my liver from chucking out glucose in a very unhelpful manner. I've lived with brittle diabetes type 1 with type 2 symptoms and insulin resistance and weight gain and having to take insulin even when I've only had a green salad ( this has been dismissed by some as the truth as they don't see why I'd need insulin for a no carb meal but I live with it and Ives no reason to make this up.... an issue past medics have been problematic over. It seems they must have come across diabetics who lie and when the evidence doesn't fit what they have in their text books then the patient must have made it up!)
What ever it's done my blood results are vastly improved and I'm very happy about that
I just spoke with my pharmacy and my Wegovy dosage is very low at .25, which is fine with me, but it’s on back order and there’s no telling how long before it’s available. So, I won’t have it anytime soon.
Oldvatr
Expert
Although I am not on insulin therapy, I have seen others comment that they bolus proteins at 50% to allow for the effect of gluconeogenesis. this is especially relevant for T1d doing Low Carb. woe.
Yeah. I must bolus despite low carb, so I don’t get much benefit. Actually, having the carbs and bolusing works better for me. I need the insulin. I don’t go overboard with them, but Keto doesn’t serve me well.
The best way to lose weight is to exercise and eat a balanced meal. These drugs do help but have many side effects. My hubby took victoza for 3 years and only lost little weight. He's been put on trulicity which has less side effects and that too he lost not too much weight.
He's now been put on Mujaro OZepmpic and THAT has helped him lose 8kgs in 3 months.
Sugars came normal after losing weight so no more metformin. But is on insulin once a day long acting only.
You don't need a gym but if you can afford please do go. Whole foods plant based can help with weight loss and insulin resistance which is one factor for not losing weight and craving sugar. I pray and Hope you all get better very soon.
Hi, I am type 2 but unable to receive this treatment, I suffer from pancreatitis and the injections proved to cause flare ups of pancreatitis and can also cause pancreatitis
