Type 1 Diabetes and Ozempic?!
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- Опубликовано: 6 сен 2024
- When someone says they have diabetes, often they are referring to type 2 diabetes, which is the most common form of diabetes.
Ozempic can be used for type 2 diabetes, but what about type 1 diabetes?!
Let’s get into it!
References:
MDPI (February 6, 2023). A Review of the Effects of Glucagon-Like Peptide-1 Receptor Agonists and Sodium-Glucose Cotransporter 2 Inhibitors on Lean Body Mass in Humans. Retrieved from: www.mdpi.com/2...
Centers for Disease Control and Prevention. (December 30, 2022). Diabetic Ketoacidosis. Retrieved from: www.cdc.gov/di...
Liu L, Shao Z, Xia Y, Qin J, Xiao Y, Zhou Z, Mei Z. Incretin-based therapies for patients with type 1 diabetes: a meta-analysis. Endocr Connect. 2019 Mar;8(3):277-288. doi: 10.1530/EC-18-0546.
Mohandas D, Calma J, Gao C, Basina M. Evaluating the Efficacy and Safety of Long-Acting GLP-1 Receptor Agonists in T1DM Patients. Endocrines. 2023; 4(1):93-101. doi.org/10.339...
Dejgaard TF, von Scholten BJ, Christiansen E, Kreiner FF, Bardtrum L, von Herrath M, Mathieu C, Madsbad S; ADJUNCT ONE and ADJUNCT TWO Investigators. Efficacy and safety of liraglutide in type 1 diabetes by baseline characteristics in the ADJUNCT ONE and ADJUNCT TWO randomized controlled trials. Diabetes Obes Metab. 2021 Dec;23(12):2752-2762. doi: 10.1111/dom.14532..
Guyton J, Jeon M, Brooks A. Glucagon-like peptide 1 receptor agonists in type 1 diabetes mellitus. Am J Health Syst Pharm. 2019 Oct 15;76(21):1739-1748. doi: 10.1093/ajhp/zxz179.
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I’m T1D and have been on Ozempic for 1 year now. My A1C decreased from a 7.3-5.9 in that time. It’s absolutely remarkable what this drugs can do for people if they are the right fit for it!
that is great, but could you able to reduce insulin intake?
I am type 1. Just took my first injection. I pray it works for me. I’m terrified lol
@@christylee9552
Don't panic, it will work. but be sure to inject correct amount.
How much of the Ozempic do you take /weekly or daily how do you work out the dosage
@@goddogodson4211 I started at .25 which is the first dose not realizing how sick I’d be. I had to cut it back to half
T1D for 43 yrs. On a Tandem insulin pump and Dexcom CGM. I was on ozempic for 4 months before I had to discontinue due to excessive diarrhea, vomiting and belching. I lost 27 lbs in the first 2 months, weight that I had gained after three years of Achilles injuries and two surgeries. I was able to decrease my daily insulin requirements from 90 units to around 60 units and my time in range went from 70% to 80%.
Hi did the Ozempic cause your blood sugars to go lower? I am thinking to try the Ozempic for weight loss
I’m type 1 and really want ozempic but my provider said no:(
Same here
What are the reasons for a provider saying no?
@@juanrosa6969she said it was not recommended for type 1’s
GLP-1 causes delayed stomach emptying (On Ozempic, this could be as much as 2 hours later based on my CGM blood sugar curves) In other words, adding GLP-1 medications may impact when/how you inject your insulin. In other words, it is very important to consult with your healthcare providers.
This video explained every question I had about this medication. Thank you so much for making this video! I appreciate you dearly.
Hello, I know someone close to me type 1* that had A1C dropping from 10 to 7 with ozempic which is very important, no dka or hypoglycemia yet, I will not be surprised to see future studies show benefits of ozempic for some type 1 who have high a1c
The higher the A1C at baseline the greater benefit we see in both Type 1 and Type 2 diabetes.
That's great, how did they get their insurance to pay for it? if you know that would be a great share! Thanks,
@@euniceausby Endocrinologist prescribed and insurance covered it, however in the last 3 weeks, due to wave of people using it to lose weight, insurance as of July will only cover for type 2 and nothing else, I even wrote to Ozempic about pushing studies of benefits for type 1, but they do not have plans to do this, its sad as some type 1 who needed it to lower A1C despite exercise and healthy diet, will not have access to it anymore. Edit: this is in Canada
@@michaelk4876ou are right I was on Ozempic for 3 months as a type 1 and now my provider won’t give it to me only for type 2 😢
@michaelk4876 damn. In Australia it's prescribed for both type 1 and type 2. I am type 1 and get it from my doctor and endo. I pay $29 per shot. Barely anything. Before they subsidied it for type 1 I was paying $170.
Australia has amazing health care.
This video may eventually have to be re-visited. Some new research with small group of 10 patients, who were newly diagnosed with type-1 diabetes, was published (9/8/2023) as correspondence of New England Journal of Medicine by Dr. Paresh Dandona. After three months of taking semaglutide, all 10 patients were able to stop taking prandial insulin. And after six months of taking semaglutide, seven patients were able to stop basal insulin as well.
how can i contact u sir?
0.7 Reduction in a1c is still a lot and makes a difference long term! Whatever I tried, also with low carb i only managed to lower my a1c from 6.6 to 6.2%. unfortunately it is not a sustainable diet for me. So again at 6.5% with 80% time in range. If i could lower it to 5.8% that would be awsome and i am pretty sure that would mean about 95% time in range. Every 0.1 makes a difference. I have diabetes for 33 years, many of them not in good control. So every year that I can add in low numbers adds up for my time on this planet
T2 used to be on ozempic. Lost 22 lbs got off bp medicines. But i had no appetite. No thirst. Glucose contol fsntastic. But I couldn't stand never be hungry
Never been thirsty and having to force myself to remember to drink liquid. Plus the shortage twice in the 6-months i took it. It did lower my a1c. Been off since October. Gained 10 lbs during the holidays. A1c went way up. I have finally lost that weight back. Started a cgm 23 days ago. A2c dropping. I can tell by my average glucose level. It will probably be down 2 points when I see doctor in 10 weeks.
I’m type 1 diabetic diagnosed age ten currently 33.
My primary care physician won’t prescribe me Ozempic.
My endocrinologist won’t prescribe me Ozempic either. She says it’s not for type 1.
So I scheduled an appt with another Dr that I’ll have to pay for the medication out of pocket.
That is disappointing. Especially for an endocrinologist who should have a much more indepth grasp of the literature knowing the benefits and risks etc.
Me too. But I found it anyways and just took my first dose.
@@christylee9552 yeah I’ve been on semaglutide now for 7 months. I pay $500 every 4 weeks for the shots. 😰😰 but I love it so much. It’s helped my weight soooooo much.
Thank you🎉
I amtaking saxenda when i went up tp 1.8 i got diaherra and belching. Dihaerra last 2 to 3 days
If inlower my dose back done to 1.2 i have no diaherra. My family dr isnt that well educated in the medication. My endocrinologist is. But takes 3 months tonsee him. I have lost 7 kilos inb1 1 1/2 months. I have nkt had my blood check. My dr disnt nkt check my blood leveka. When should this be done. I am currently takimg Vitoza as Saxenda i can no longer get here. But Vitzoza only goes u0 to 1.8. I domt know of o can take more. Can you please let me know
Would you care to share how you got it approved from your insurance company?
This is not a response to what I wrote
I am a type1 diabetic. Have been on insulin for 35 years. A low dose of jaundice helps keep me on track. Plus protects my heart. ❤
Jardiance?? Jaundice is yellow skin due to liver disease…..
Dr, Dan isn't lowering your A1C in type 1 diabetic to .7% better than 0%? I was listening to your video just now and I truly feel that Victoza could help in lowering a type 1 diabetic's A1C. Please comment on my thought. thank you
Sure it is good. But in comparison for what it does in those with type 2 diabetes is not comparable.
@@theofficialdrdan Thank you for responding but I disagree, I think it helps type 1 just as well. I sure wish the Pharmacy companies/FDA or who ever that needs to would approve this medication for type 1 diabetic's is would surely help them to receive a better quality's of life.
@@euniceausby This medication currenly costs $1000 per month. Is it worth a 0.7% change?
Really? In Germany it is 80 Euros per month ... Anyway, how many years longer do you live or live without complications with a a1c lowered at 0.7% - i would say a lot. For me that would probably mean a time in range of nearly 100 instead of 80 percent which really means a lot. I would almost be normoglycemic. It would mean a lot to me. Unfortunately t1ds in Germany are not eligiable for prescription if not obese and you can't buy without prescription 😢 i am 10 kg overweight and more stable bloodsugars would help me trememdously for losing weight. Just in this moment i need a snack to prevent a low ...😢
Thank you Dr. Dan.
I am sure you are aware of the on-going research on using Harmine along with GLP-1 to help regeneration of the beta cell. That reseach also support your valuable video. I am so interested in this research and looking for it to conculde positivily. Thanks again!
Human Pancreatic Beta Cell Regeneration for Diabetes: A Journey From Impossible to Possible
ruclips.net/video/ADt4kWL72SU/видео.html
Trial ID: NCT05526430 Looks like the phase 1 results should be available late 2024. The most interesting part of this video was that type-2 diabetes implies about 50% loss of beta cells in pancreas which I didn't know.
What about mounjaro please and type 1 is it allowed?!
In theory. Talk to your doctor or specialist.
I was taking Ozempic. I am a type one diabetic, but my insurance won't pay for it anymore. Could you help me?
Why are T1D being denied Ozempic
I’ve been T1D for 18 years and I use 2 insulines since the beginning, shot and long action. What about if I used both with ozempic? I’m not replacing my 2 main insulines and just adding one more to help me reduce my weight because T1D can also get fat too. I read that ozempic could help me to be more sensible to my insulines and I think that would be a good point because I may reduce my main insulines amount but never replace them. Give me your opinion please 😢 I wanna reduce my weight.
It certainly could be. I would discuss with your endocrinologist
Eating to much carbs/high sugar, stress causes insulin resistance.