Amazing A1C Results!

[jadedsteamer60]

Fantastic progress! Looking good! Making it under 170 is a big deal - that's the dream for me too someday.

 

[ZepBounder]

been on mounjaro 2 years - started 296, now 195 at 42f. stuck below 190. doc added 500mg metformin xr once daily to help. took first pill yesterday + shot today. anyone else using this combo?

 

[mint_crafteraf14]

amazing results and you look great! how long was your whole journey from start to current weight?

 

[NauseousButHappy]

Three months to a full A1C point is the result 5mg is calibrated for.

 

[Kim1993]

Starting at 13 leaves a lot of room for a dramatic improvement on the first recheck - the drop usually surprises people.

 

[leantryingstuff_1119]

The radiologist-ordering-labs workaround is creative but ultimately not sustainable as a primary care structure - a good endocrinologist would transform the A1C trajectory work you are already doing. Worth putting real effort into finding one who actually manages metabolic disease rather than just reviewing results.

 

[easinginprotein]

Yeah, compound sema maxing out at 2.5 and then switching to compound tirz at 10 and titrating up is a pretty standard progression when sema hits its ceiling. The OP's A1C drop in three months on sema is the direct result of what happens to glucose when appetite suppression reduces intake consistently. What's the A1C story been since the tirz switch?

 

[wasabi_wk6]

the triglyceride drop tends to be the one that surprises people most - the A1C improvement is expected but the lipid panel coming in clean alongside it is a real metabolic bonus. visceral fat is the one that does most of the damage so that reduction is the one worth tracking long term

 

[breezycinnamon]

the 'articulate medical necessity' process for lab coverage is unevenly applied - standard metabolic panels and A1C get through most prior auth processes with a standard T2D or pre-diabetes code, but anything outside the routine panel requires documented clinical reasoning. tumor markers are specifically flagged for high out-of-pocket rates because they require a diagnosis code that most primary care offices aren't coding proactively

 

[spunkychopper]

That's so great, really happy for you! Appreciate the encouragement. Getting by on protein shakes, the occasional bite of grilled chicken, and string cheese here and there.

Also dealing with type 2, my A1C sat at 9.1 last checkup, which is why my doctor added insulin. Hoping all this effort actually pays off eventually. Not exactly loving feeling this rough though.

 

[hummus-runner]

PS, your A1C will probably drop further if you lose more weight, not sure if that's actually your goal though. Genuinely curious what's driving your doctor's urgency here.

7.4 isn't ideal, but I'm guessing it's trending in the right direction.

 

[olive-smoothie8170]

Once you've been on it a while, get labs done to check your A1C. Mine dropped enough on Mounjaro, down to 4.5, that Metformin got dropped from my routine entirely, worth digging through older posts in this group for more on that topic. An app for tracking calories, protein, and fiber helps a lot, something like Lose It, and a separate one for logging injections works well too. My side effects stayed mild aside from constipation, but everyone reacts differently so you'll need to find what works for your body. Best of luck on this.