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c/t2dglp1·submitted 1 year ago by u/nils_ferreira

small win: glycaemic control stopped being a problem at week 17

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small win: glycaemic control stopped being a problem at week 17, logged the same way every week so the comparison is at least internally fair. Panicked over a first-day sensor reading and rebuilt my week around it. It was the sensor. Certain conditions affect A1c independently of glycaemia. If a result looks…

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9 comments, started 1 year ago
u/osman_ferrari16 points·1 year ago

The diabetes and obesity programmes are separate, with different populations and different primary endpoints. Reading a result across from one to the other is not a comparison.

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u/bianca_demir13 points·1 year ago

Small fix — insulin secretion in this class is glucose-dependent, which is precisely why the risk you describe comes from the other agent.

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[removed]8 points·1 year ago

[removed by moderator]

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u/gustav_lindholm12 points·1 year ago

Sensor accuracy varies across wear, and readings on the first day are the least reliable. Calibration practice and compression artefacts explain many alarming single values.

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u/throwaway_91825 points·1 year ago·edited

glycaemic control and weight are two different endpoints

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u/lyophile_lou2 points·1 year ago

glycaemic control and weight are two different endpoints

Agreed, and the glucose-dependence point is the reason the risk profile reads the way it does.

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u/appeal_letter_al10 points·1 year ago

A1c, CGM, or fingersticks — which are we discussing?

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u/kian_verhoeven5 points·1 year ago

Correcting myself: 21 weeks between those two A1c results, which is too short an interval to interpret.

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u/reship_roulette5 points·1 year ago

Right, and the diabetes programmes report glycaemic endpoints. Quoting an obesity trial result here is answering a different question.

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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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