Semaglutide

[desidiabulum]

Dear All,
I haven't been on the forum for some years now, basically because all has been going fine. Weight, bloods, hba1c all OK. Diabetes clinic and my GP are now pushing strongly for me to go on to semaglutide. I am resisting because I am on so many drugs already (dapagliflozine, atorvastatin, lisinopril, bisoprolol, aspirin, gliclazide, B12 injections etc) and I feel I have the right sort of balance and I definitely don't need to lose weight. Gastrointestinal issues are my Achilles heel (I still have nightmares about my brief initial use of metformin) and I don't relish the possibility of having these exacerbated by new medication (also the muscle wastage, need to boost protein levels etc). The arguments I get back is that gliclazide is 'old-fashioned' (!) whereas semaglutide would be good for my heart etc. My instinct is that if a drug interferes so much with how the body functions it is only going to be a matter of years before long-term side effects are identified. I know I am lucky to be offered it, and I have been lucky to have mostly supportive healthcare professionals, but my instinct is 'if it ain't broke, don't fix it'. What do other people think?

 

[Antje77]

If all your lab results are where you want them to be and you're happy with the medications that you are on, if it ain't broke, don't fix it makes a whole lotta sense to me.

 

[desidiabulum]

Vielen dank, Antje! I appreciate the reassurance. I get the point of semaglutide for those who need to lose weight, but if weight is OK I don't see the point of then having to adjust diet etc to cope. I think in the end that the main thing with living with diabetes is to get reasonable control and then get on with one's life, rather than getting sucked into an endless battle of trying to improve hba1c. I don't doubt I could do better than my current hba1c of 49, but I have a busy and complicated life and this will do for me for now.

 

[Rachox]

If you are happy with what you take, so what if it’s ’old fashioned’! Unless it’s actually not going to be made anymore then no need to change in my view. Stand your ground, it’s your body, you should be in control of what you take.