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i have a new endocrinologist who took me off my glimpride and switched me to trulicity
i was taking 4mg of glimpride and with a pretty strict diet got my a1c to 6.2 from 7.8
well i know trulicity can take a few months to reach full strength but i find my higher numbers just frustrating for the effort i put in to my diet , i run 3.5 miles every other day and weight lift .
i just took my fourth shot last thursday so i am on about a month .
the same foods which would have me in the 140-160 range an hour or two in are now in the low 200’s .
from what i see on line it can take 4-6 months to reach full strength.
not sure what it does that would take so long to work , but anyone else experience this frustration switching from an old school pill ?
I've taken Metformin and been on it for nearly 24 years now. It's the primary old school med, and it does play well with newer meds for many people, so no reason to automatically stop a well-tolerated med if a new med is being started, and not without seeing updated blood work of how 2 meds are affecting the disease.
GLP-1s don't work for every one, clinical studies show there's a % of people who don't get the average benefit.
Trulicity did nothing for me, so my doc moved me over to Ozempic. Game changer! I lost a lot of weight, got my numbers into normal range (for the first time in 20 years), and I've been able to go from Glucovance to plain Metformin, and most recently, half the old Metformin dose. I'm hoping to ditch the Metformin completely; she said we could trial it if my labs are good at my July appointment. Fingers crossed!
Mathjak, if you're doing the meds along with rigorous diet/exercise, I think you should be seeing a better result.
i just took my fourth shot last thursday so i am on about a month.
I'm on Ozempic, started February 1st. The first four doses were 0.25 mg doses, the next four were 0.50 mg doses, the next step up was 1.0 mg - but I wasn't adjusting well and my PCP kept me at 0.50mg for another four weeks. I was able to step up to the 1.0 mg dose after that.
I'm curious as to whether Trulicity also follows the same slow introduction that Ozempic uses. If it does, it may be that you just haven't hit "full potency" yet.
Trulicity did nothing for me, so my doc moved me over to Ozempic. Game changer! I lost a lot of weight, got my numbers into normal range (for the first time in 20 years), and I've been able to go from Glucovance to plain Metformin, and most recently, half the old Metformin dose. I'm hoping to ditch the Metformin completely; she said we could trial it if my labs are good at my July appointment. Fingers crossed!
Mathjak, if you're doing the meds along with rigorous diet/exercise, I think you should be seeing a better result.
i had very good results with glimpride and my diet and exercise …6.2 a1c ….
but i have very little leeway as far as carbs go …
the new endocrinologist who by the way is head of endocrinology at the well known heart hospital st francis said that glimpride wasn’t the best way to go anymore .
so 5 weeks in my numbers are about 30 points higher at times with trulicity eating the same things ..
the doctor told me day one i will be higher for a while so i am giving it a try.
it just sucks going backwards even if temporary.
my insurance wouldn’t cover ozempic but it did trulicity
Last edited by mathjak107; 07-03-2023 at 03:01 AM..
got the first a1c back since starting .75 on trulicity ….6.7
i was running 6.2 on my old meds .
my doctor increased me to 1.50 starting next week so let’s see how that goes
These meds are revolutionary for many type II diabetics but they don’t work for everyone. You might be one of those folks. I am surprised your doctor wanted to change when you had good control with what you were using.
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These meds are revolutionary for many type II diabetics but they don’t work for everyone. You might be one of those folks. I am surprised your doctor wanted to change when you had good control with what you were using.
he had good reason .
while the older type drugs were good at reducing glucose levels they did nothing else the new drugs do .
now it’s about not as much getting the glucose down to the lowest levels but the new shots have been shown to be very effective at protecting against stroke and organ damage from diabetes .
so doctors who follow current research want you as much on these new drugs as possible .and as little of the older drugs which do nothing else.
so the belief is you are better off if need be with slightly higher glucose numbers but much more other good things going on
Last edited by mathjak107; 09-09-2023 at 02:09 AM..
i just learned about the notorious donut hole in prescription coverage .
so regardless of dose once the drug plan pays out 4660 in total drug costs , that 11 dollars copay on the higher tier drugs jumps to 89 dollars , that covers a few more thousand and then you fall in the gap or donut hole as it is called .
from 4660 to 7400 you pay 25% of the cost of the drug until you go over 7400
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