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c/t2dglp1·posted 1 year ago by u/emil_okwuosa

[Question] Australia — has anyone got a straight answer on metformin

Question Receipts ×3 Slow Clap ×1

Genuinely asking, not being difficult.

Everyone in c/dosinglogs repeats that glycaemic control is important. I believe it, but I have never seen anyone show why, and when I search I get 14 threads of people agreeing with each other.

Is there a paper? Is there a measurement? Or is this one of those things that is true because it has been repeated since 2023?

I am not trying to be the "source?" guy. I would just like a source.

1,784 up / 155 down92% upvoted53 commentsid v9vtwm3 Mar 2025

53 comments

22 in this archive, depth 5

best — the order this archive was captured in

u/cloudy_vial_carol183 points·1 year ago

I am going to push back on this slightly.

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u/emil_okwuosaOP118 points·1 year ago

Maintenance for 21 months now. Weight moves within about 3kg and the dose is a quarter of what it peaked at.

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u/hana_lehtinen95 points·1 year ago

the 32 A1c trend is the answer

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[deleted]37 points·1 year ago

[deleted]

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u/emil_okwuosa30 points·1 year ago

hypoglycaemia risk when stacked with metformin

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u/marisol_moreau146 points·1 year ago

CGM traces tell a story, numbers alone do not

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u/meal_prep_mira41 points·1 year ago

A1c, CGM, stacking with metformin

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u/kaia_cabrera97 points·1 year ago·edited

CGM traces tell a story, numbers alone do not

Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.

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u/emil_okwuosa30 points·1 year ago

the weight-loss conversation drowns out glycaemic control sometimes

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u/slow_logbook_notes3087 points·1 year ago·edited

Titration speed is a side-effect dial far more than an efficacy dial.

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u/priya_weiss22 points·1 year ago

This is correct. Hypo risk is real.

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u/lucia_balogun57 points·1 year ago·edited
^ this
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u/nils_ferreira44 points·1 year ago

glycaemic control first, that is the original indication

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u/emil_okwuosaOP34 points·1 year ago

glycaemic control first, that is the original indication

Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.

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u/rania_marchand-11 points·1 year ago

metformin combo is standard

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u/gradient_goblin23 points·1 year ago

CGM traces tell a story, numbers alone do not

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u/runa_grimaldi38 points·1 year ago

The confident tone is doing a lot of work that the evidence is not.

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u/tired_ledger_notes44 points·1 year ago

hypoglycaemia risk when stacked with A1c

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u/arne_nyberg46 points·1 year ago·edited

A1c, CGM, stacking with metformin

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u/rafael_krastev37 points·1 year ago·edited

insulin and sulfonylurea interactions are real hypo risk

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u/neha_rahimi22 points·1 year ago

insulin and sulfonylurea interactions are real hypo risk

Disagree on that part. 95.1% and 96.2% on the same vial is normal.

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u/ingrid_correia25 points·1 year ago

Yeah, glycaemic control is the original use.

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About c/t2dglp1

Type 2 diabetes as the original indication: A1c trajectories, CGM traces, hypoglycaemia risk when stacked with sulfonylureas or insulin, metformin combinations, and why the weight-loss conversation sometimes drowns out the glycaemic one.

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