Has anyone here started on Ozempic while following a keto or very low-carb diet? My doctor is recommending I add Ozempic for glucose control and heart health, not so much for weight loss. My weight is not ideal, but is not a big issue. My A1C numbers seem to depend mainly on how well I keep my low carb diet, and everything I read says eating a fat oriented diet on Ozempic is not going to be easy. Anyone been down this road before? How did it go for you?
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Low carb / keto on Ozempic?
- Thread starter Roggg
- Start Date
- Messages
- 4,325
- Type of diabetes
- Treatment type
- Diet only
Hi - I can't answer your question directly, but there is something in the NICE guidelines to the effect that
SGLT-2 inhibitors should not be used when someone is on a vlc or keto diet - because of the risk of DKA. The guidelines are extremely risk-averse when it comes to DKA.
The guidelines go on to talk about the GLP-1 drugs (eg Ozempic) but I can't see any similar warning about vlc or keto.
SGLT-2 inhibitors should not be used when someone is on a vlc or keto diet - because of the risk of DKA. The guidelines are extremely risk-averse when it comes to DKA.
The guidelines go on to talk about the GLP-1 drugs (eg Ozempic) but I can't see any similar warning about vlc or keto.
AllieRainbow
Well-Known Member
- Messages
- 261
- Type of diabetes
- Type 2
- Treatment type
- Tablets (oral)
I am on Rybelsus - the tablet form of semaglutide (Ozempic). I eat a low carb diet and eat moderate fats. The weight has dropped off, mainly due to the low carb, and the HbA1c has come down a lot, some of which is to do with the semaglutide, but mostly the low carbing and exercise.
