Been forced off this medication several times over the years, and holding onto fat loss was always the easy part, keeping glucose numbers down was the piece that never worked out. My insulin resistance is severe enough that once medication levels fall far enough, my insulin requirements start climbing and glucose follows right behind, eventually drifting back up toward where it sat on a different injectable, around 9.8.
Eight years running on this medication now, and provided I keep at least a half milligram going, my A1C holds between 5.2 and 5.5. Moving up to 1mg barely moves the needle beyond reducing background insulin needs, does nothing at all for the active insulin side.