this post was submitted on 13 Feb 2025
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Fucking seriously? Come on, people, I just want to bring down my fucking A1C. -_-
These side effects are almost always from abuse, meaning high dosages or taking it for too prolonged of a period. You can also wreck your pancreas and make your TSH/LSH levels so low that they don't show up on blood exams if you have a massive bolus dose. If you're being responsible and taking it appropriately you should be fine.
I mean this with all curiosity.
Isn’t this a “stop a certain behavior and things get better” kind of thing?
It's not, no. I've cut out basically all sugars. My A1C won't go down. I start insulin once I get paid and can afford the prescription. So far ozempic is the only thing that has helped. It even allows me to be able to eat bread and pasta again, whereas before I had had to cut it out entirely, along with everything else that brought me any joy.
Isn’t this typically a lifestyle issue and obesity related?
Are you a type 1 diabetic?
My ask is does a health professional not say “diet and exercise is the first line choice to solve this problem”
It was a trick question: sat in my GPs office and we had this discussion juuuuust yesterday because I was curious about these drugs. Funny enough he said he prefers it to be kept for folks who are biologically incapable of naturally lowering their A1C as opposed to the new fad of this over diet and exercise.
The safest way to lower your A1C is with weight loss through diet and exercise, but I suppose “wonder drugs with nebulous and unknown side effects are quicker”
Just gonna be blunt and say that this is a pretty shitty misconception, like saying cancer sufferers didn't pray hard enough or something.
I'm T2D. I'm not going to provide my "fitness creds" (because why would you believe me anyway) but I'll just say it's absolutely not possible that my T2D is caused by poor diet or lack of exercise.
T2D is caused by insulin in insufficient quality or quantity. The pancreas produces insulin. Some people just have a shitty pancreas that produces shitty insulin that doesn't work. If you're overweight then fatty pancreas makes it worse, but it's not the underlying cause.
If you have T2D you can't store glucose effectively, it hangs around in your blood and fucks everything up. Consequently you shouldn't consume carbohydrates which your liver covers to glucose.
T2D is not caused by the consumption of sugar, but people with T2D cannot process sugar.
For a newly diagnosed person with T2D, diet and exercise is indeed the first recommendation, because the meds suck and losing some weight might make smaller doses more effective.
I, and others like me, lost the genetic lottery. I have to stick to an incredibly restrictive diet, and bullshit exercise regime, to delay the inevitable deterioration of my health. Even so I will be lucky to live to 60, and if I do ill probably have ass cancer or amputations or dead kidneys or some other fuckery.
Honestly, stick your "diet and lifestyle" misconceptions up your jumper.
Pretty sure T2D is reversible with diet and exercise. It's not like T1D. It absolutely is brought on by obesity.
https://medschool.ucla.edu/news-article/can-diabetes-be-reversed
It's pretty well known at this point that if you have T1D your in the "need meds" camp. If you have T2D you're in the "lose weight" camp. There's tons of research on this and a ton of people who lose the weight and the T2D goes with it.
It's not a misconception just not a 100% rule.
I have high blood pressure and can't fix it with diet and exercise either, was underweight and a runner, now healthy weight yoga & lifting, have been vegetarian and omnivore, it doesn't affect it at all. Drugs work so I take them. But it's also true that people who are fat or inactive can reduce their blood pressure and blood sugar by getting in shape, it is usually a lifestyle thing.
You’re saying a lot as if it’s fact.
There is no known cause for T2D however the overwhelming evidence points at lifestyle and diet.
Medicine and science BOTH point at this being a disease of lifestyle, like gout. One damages their systems through abuse and overwhelming them.
But go off. Be offended.
I think it’s unethical to treat symptoms instead of the root issue and society normalizing diseases of lifestyle because we can potentially medicate the symptom away is gross.
I’ll shove it all up my jumper.
Dude you come across as such an asshole why be like that?
I don’t care. I literally could not care any less if I come across as an asshole. The person I’m responding to spouted a bunch of nonsense and I replied in kind.
We’re having a discussion about a drug and it’s not possible to ask hard questions anonymously on the internet?
I get it, people are super touchy about their weight and don’t want to take ownership of their health.
You're making assumptions and putting words in people's mouths, disregarding what they have to say because you seem to think you know better.
Edit: also, decent people care about coming across like an asshole...
Im not and I didn’t AND I don’t pretend to be a decent person on the internet.
Im literally having a direct conversation. You can walk away at any time without harassment. It’s easy!
Happy to satiate your need to bicker and feel like a savior though.
You should try to be decent in all interactions in my opinion.
👍
I'm not offended, I'm trying to explain that you're ignorant and arrogant.
You made a claim “T2D is not caused by” and right there anyone who cares about truth should understand you’re speaking feelings not facts.
What causes T2D is still a mystery, but we have very good ideas and a lot of evidence backing those ideas.
Saying sugar doesn’t cause it when at best our understanding of T2D is that it’s a disease caused by damaging the body, with medical science pointing at excessive sugar intake being a likely causative effect (but again, no consensus) is the ignorant icing on your cake.
I hope you find the health you’re looking for, I’ll remain “ignorant” with my medical education. Thanks.
This is meme-level reasoning borne of the misunderstanding that because people with T2D should reduce their sugar intake T2D must be caused by sugar intake.
Anyone with any actual medical education would understand this.
I don't, I do, and there's plenty of shit left over for you to go and eat, friend.
I've been on restrictive diets for the better part of a decade, and I run as much as I am able to given problems with my feet, legs, and back. But go on making assumptions about people's lives, it's always a good look.