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Semaglutide

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ben39

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What is the recommended upper and lower limit of hba1c to be prescribed semaglutide, mine is 45 and my GP told me it is too low to use the drug
 
ben39 said:
What is the recommended upper and lower limit of hba1c to be prescribed semaglutide, mine is 45 and my GP told me it is too low to use the drug
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At a hba1c of 45 you're in the prediabetic range. At such a number medication other than sometimes metformin is not usually prescribed.
 
ben39 said:
What is the recommended upper and lower limit of hba1c to be prescribed semaglutide, mine is 45 and my GP told me it is too low to use the drug
Click to expand...
Look at NICE guidelines if you have the time or your local areas prescribing policies as these will essentially determine treatment pathways.

Out of interest, why did you go to the GP and ask/discuss semaglutide?
 
MichaelBrown said:
Look at NICE guidelines if you have the time or your local areas prescribing policies as these will essentially determine treatment pathways.

Out of interest, why did you go to the GP and ask/discuss semaglutide?
Click to expand...
yes I had a medication review Im on 4x500 metformin a day but don't get on with them he told me Im to low 45 hba1c to get semaglutide
 
ben39 said:
yes I had a medication review Im on 4x500 metformin a day but don't get on with them he told me Im to low 45 hba1c to get semaglutide
Click to expand...
Yeah it's a bit early and it certainly isn't first line treatment for someone with a HBA1c of 45 in my opinion.

If your HBA1c is only 45 then lifestyle changes will have a much more immediate impact on treating pre-diabetes than medication. Plus, medication without lifestyle changes (exercise + weight control + diet) will make close to zero difference.
 
ben39 said:
yes I had a medication review Im on 4x500 metformin a day but don't get on with them he told me Im to low 45 hba1c to get semaglutide
Click to expand...
You're only just in the prediabetic range. Have you considered tweaking your diet a little? A couple of small changes could well be enough, seeing as you're below diabetes levels.
 
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