[Myrddin]

My wife is a type 1 diabetic with an insulin pump and continuous glucose monitor. She also uses Ozempic. The down side is Ozempic causes delayed gastric emptying. Her blood glucose is a roller coaster. It takes very little to spike high and she fights a low almost every night. Trying to eat something that doesn't cause a spike is subverted by the delayed gastric emptying. We have "spray up the nose" glucagon as a "rescue" from a severe low. Ozempic often brings stomach cramps and diarrhea the day of injection. That improves over a few days. While it helps with weight loss and lowering A1C, it brings a circus of other side effects. One really bad side effect is harming circulation to the optic nerve to the point that blindness results.

Your mileage may vary. It is not without potential harm.

[TXBlair]

Oh, I am so sorry for your wife. Maybe I’m thinking of Jardiance, but I know I’ve seen one of the drugs that states explicitly that is not for Type 1 diabetics. I guess that isn’t Ozempic, but I certainly hope her doctor listens to her when she reports these awful side effects.

My older brothers are both Type 1…one diagnosed when he was a toddler in about 1970, and the other just in the last few years, after initially being identified as a Type 2 several years ago. The life-long T1D brother lost his eyesight in the mid-90s, when he was in his 20s, due to diabetic retinopathy. His blood sugar swings are wild. A1C is always bad. He has recently been pressured to use a CGM, which has frustrated him as a blind person. Plus, the readings it gives versus his regular old glucometer are significantly different. I think after this first prescription cycle is up he is going to discontinue the CGM.

Thank you for the information about your wife’s experience with Ozempic. That’s really helpful for everyone to keep in mind when looking at taking it. She has a good advocate in you.