Type 1 Diabetes and Ozempic?!

  Рет қаралды 5,064

Dr. Dan | Obesity Expert

Dr. Dan | Obesity Expert

Жыл бұрын

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/2673-396X/4/1/8
Centers for Disease Control and Prevention. (December 30, 2022). Diabetic Ketoacidosis. Retrieved from: www.cdc.gov/diabetes/basics/d...
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/10.3390/endocrines401...
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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Video Topics: medication for weight loss injection, benefits of prescription weight loss, medication management benefits, anti-obesity medication, medical weight loss, weight management, weight loss medications, weight loss injections, obesity treatment, medically supervised weight loss, diet and mental health, diabetes, type 1 diabetes, type 2 diabetes

Пікірлер: 44
@lindahurst2236
@lindahurst2236 Жыл бұрын
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%.
@bronerariel
@bronerariel 3 ай бұрын
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!
@clarkkent7973
@clarkkent7973 9 ай бұрын
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.
@londonwilson6409
@londonwilson6409 Ай бұрын
This video explained every question I had about this medication. Thank you so much for making this video! I appreciate you dearly.
@WeRoneWeR1
@WeRoneWeR1 15 күн бұрын
Thank you🎉
@christylee9552
@christylee9552 Ай бұрын
I’m type 1 and really want ozempic but my provider said no:(
@WeRoneWeR1
@WeRoneWeR1 15 күн бұрын
Same here
@michaelk4876
@michaelk4876 Жыл бұрын
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
@theofficialdrdan
@theofficialdrdan Жыл бұрын
The higher the A1C at baseline the greater benefit we see in both Type 1 and Type 2 diabetes.
@euniceausby
@euniceausby Жыл бұрын
That's great, how did they get their insurance to pay for it? if you know that would be a great share! Thanks,
@michaelk4876
@michaelk4876 Жыл бұрын
@@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
@estherdeleon2399
@estherdeleon2399 11 ай бұрын
@@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 😢
@docbainl9504
@docbainl9504 10 ай бұрын
​@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.
@clarkkent7973
@clarkkent7973 9 ай бұрын
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.
@JM-ev9ju
@JM-ev9ju 2 ай бұрын
how can i contact u sir?
@sammysunshine4884
@sammysunshine4884 6 ай бұрын
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.
@theofficialdrdan
@theofficialdrdan 4 ай бұрын
That is disappointing. Especially for an endocrinologist who should have a much more indepth grasp of the literature knowing the benefits and risks etc.
@euniceausby
@euniceausby Жыл бұрын
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
@theofficialdrdan
@theofficialdrdan Жыл бұрын
Sure it is good. But in comparison for what it does in those with type 2 diabetes is not comparable.
@euniceausby
@euniceausby Жыл бұрын
@@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.
@clarkkent7973
@clarkkent7973 9 ай бұрын
@@euniceausby This medication currenly costs $1000 per month. Is it worth a 0.7% change?
@monakulasic5669
@monakulasic5669 Жыл бұрын
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
@euniceausby
@euniceausby Жыл бұрын
Would you care to share how you got it approved from your insurance company?
@monakulasic5669
@monakulasic5669 Жыл бұрын
This is not a response to what I wrote
@jesuspirela7568
@jesuspirela7568 2 ай бұрын
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.
@theofficialdrdan
@theofficialdrdan 2 ай бұрын
It certainly could be. I would discuss with your endocrinologist
@WeRoneWeR1
@WeRoneWeR1 15 күн бұрын
Eating to much carbs/high sugar, stress causes insulin resistance.
@user-lc3up3qv2o
@user-lc3up3qv2o 2 ай бұрын
What about mounjaro please and type 1 is it allowed?!
@theofficialdrdan
@theofficialdrdan 2 ай бұрын
In theory. Talk to your doctor or specialist.
@jenniferbrown1780
@jenniferbrown1780 Ай бұрын
I was taking Ozempic. I am a type one diabetic, but my insurance won't pay for it anymore. Could you help me?
@WeRoneWeR1
@WeRoneWeR1 15 күн бұрын
Why are T1D being denied Ozempic
@ahmadjk
@ahmadjk 10 ай бұрын
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 kzfaq.info/get/bejne/d6qkZ86IsZ2Wg4k.html
@clarkkent7973
@clarkkent7973 9 ай бұрын
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.
@PatriciaMartinez-ty4er
@PatriciaMartinez-ty4er 4 ай бұрын
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. ❤
@Laugh_73
@Laugh_73 Ай бұрын
Jardiance?? Jaundice is yellow skin due to liver disease…..
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