From A1c 9.8 to 5.2! What a year!

Hong Kong Yanpep International
A1C from 9.8 to 5.2 in under a year is the clinical remission arc. The six-size drop alongside it is the part clinical trials underemphasized - they were measuring blood sugar, not dress sizes. The 2mg ceiling is where most people see weight loss accelerate past 1mg.
 
A1c from 9.8 to 5.2 in under a year with full reversal out of diabetic range is the kind of result that makes the rest of the medication conversation secondary - the metabolic correction is the core outcome, the size drop and how you feel at 39 are the lasting reward.
 
You've got this, just take it slow day by day. Feeling so much better myself, my a1c dropped from a 9 down to 4.6, cholesterol's back in range, blood pressure's better too. Still got 97 pounds left to go though!
 
Best decision I've ever made. A1C dropped from 6.3 to 4.9. Losses stayed steady, 65 pounds after 14 months. A handful of side effects I notice and just can't shrug off entirely, but that beats crossing into full diabetic territory or a sudden death tied to morbid obesity, hands down.
 
Our numbers line up pretty closely, though I've got some years on you. Coming up on two years next month, 42F, 5'5, and hovering around 160-165. My all-time heaviest was 330, started this journey at 250. Running the 10 mg amount going back to last June, and crossed into healthy-BMI territory once I reached 150. Began back in August 2024.

Since this is mainly for T2 and my A1C's held level throughout 2025, my doctor doesn't want to raise my dose. It's definitely lost some of its punch.

Here's the breakdown:

1. No weight lost since October 2025. I bounce around the same 10 pounds, though I've dropped close to two full dress sizes anyway. Usually somewhere between an 8 and 10 now. A year back I was wearing 12/14.

2. Also let my eating slip back toward old patterns. Held tight for 18 months before sugar crept in again. Once I reined that back in, the number started trending down slowly. Still have to stay vigilant, and July's my personal reset month.

3. Extremely active, 12-15 classes weekly (kickboxing, HIIT, dance, barre, weights, water aerobics), plus roughly 10 hours walking weekly (weather permitting) and 2 more hours lifting. Genuinely love exercising now!

Have I hit my goal? Not yet. Aiming for 130
 
Totally understand, I was nervous starting too, and boy was I wrong to worry! This has honestly been the single best choice I've ever made. My diabetes was completely out of control despite running both long and short-acting insulin plus metformin. Well, a year in now and beyond dropping 130 pounds (started at 370), my A1C went from 14 down to 5.3. That's just my experience obviously, no telling what it'll do for you, though I will say sickness never once hit me, zero side effects across the whole stretch, and I've since climbed all the way to 15mg.
 
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