This is a copy of my update on another thread.
Xultophy Update May 2026.
Still low carbing around 75/80 daily. Have maintained the 12kilo weight loss.
Last 4 A1c’s have maintained at 38 or 39.
Saw an endocrinologist in December…two plus years after starting the Xultophy. I’ve been self funding the Dexcom1+ and maintained my time in range above 95% over the last two years… he says I can’t do much better than that which was nice of him. But he didn’t offer to supply it through the NHS!
I’ve tried to come off the insulin several times but with a corresponding increase in my glucose levels despite diet /eating pattern unchanged. He arranged for a C peptide test which shows I’m making some insulin (so not type 1) but insufficient for my needs but happily no longer insulin resistant.
I take around 16 units a day which seems to keep me ticking over. I don’t suffer hypos although I can drop to 4-4.5 and feel hungry, mostly before dinner time.
I feel good! I’ve come off the statin, omeprazole, paracetamol, metformin and amlopidine. I take one medication for tachycardia and a handful of vitamins. I use castor oil rubs to help with arthritis in my knees and fingers but that also improved with the low carbing.
I no longer suffer from excema and itchiness. I’ve reduced the use of my inhalers too.
I’m 77, active …walking my dog and using an exercise bike plus gardening when weather permits.