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

[Discussion] the CGM advice in here is 18 years out of date

Discussion Long Haul ×1

Genuinely asking, not being difficult.

Everyone in c/insurancefights repeats that glycaemic control is important. I believe it, but I have never seen anyone show why, and when I search I get 7 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.

490 up / 177 down73% upvoted24 commentsid ylr28a18 May 2025

24 comments

22 in this archive, depth 5

best — the order this archive was captured in

u/sten_palacios67 points·1 year ago

Disagree. What you are describing is consistent with CGM, not with what you concluded.

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u/nils_ferreira28 points·1 year ago

Disagree.

Adding to this: CGM is doing more work than the comment implies.

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u/milan_chukwu0 points·1 year ago

Disagree.

Yes, exactly this, and it is the bit that took me 49 weeks to accept.

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u/long_post_larry50 points·1 year ago

How many weeks between the two measurements?

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u/chain_confirm_cpayments24 points·1 year ago

no medication-stopping advice, ever

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u/katrin_girard22 points·1 year ago

the 44 A1c trend is the answer

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u/a1c_arcMOD16 points·1 year ago

Retitled to remove editorialising. Put the evidence in the body.

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u/step_count_stan13 points·1 year ago

metformin combo is standard

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u/rafael_krastev3 points·1 year ago

type 2 is the indication, weight loss is the side effect

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u/farid_jansen1 point·1 year ago

insulin and sulfonylurea interactions are real hypo risk

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u/wanjiru_osei1 point·1 year ago

insulin and sulfonylurea interactions are real hypo risk

Disagree on that part. 97.9% and 97.6% on the same vial is normal.

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u/throwaway_91821 point·1 year ago

Strongly agree. A1c matters as much as weight.

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u/gentle_correctionnice about it1 point·1 year ago

Disagree. What you are describing is consistent with glycaemic control, not with what you concluded.

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u/tomas_lokken5 points·1 year ago

the weight-loss conversation drowns out glycaemic control sometimes

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u/hamza_weiss12 points·1 year ago

metformin combo is standard

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u/neha_falkOP7 points·1 year ago

metformin combo is standard

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

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[removed]3 points·1 year ago

[removed by moderator]

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u/neha_falkOP9 points·1 year ago

no medication-stopping advice, ever

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u/thandi_solberg13 points·1 year ago

the TSH change is the signal

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u/rui_only_ro8 points·1 year ago

Strongly agree. A1c matters as much as weight.

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u/neha_falkOP6 points·1 year ago

A1c, CGM, stacking with metformin

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u/meal_prep_mira3 points·1 year ago

Sceptical. If this were true we would see it reflected in the data and we do not.

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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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