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Hello Newbie here

J

Jenx2

New Member
Relationship to Diabetes
Type 2
I have been taken off Trulicity being told that I do not qualify... I do not meet the 'criteria' although Ive been taking it for over 4 years, with no side effects at all! Unfortunately I am unable to take Metformin anymore due to stomach problems and was therefore informed that Insulin was the only other option :-( a route I did not want to take I hasten to add. They have now introduced 2 Rapid Insulin injections so that's now 3 shots a day, whereas Trulicity was once a week!! I am now having to check my BG significantly, checking for Hypos but finding readings eractic :-(
Has anybody else been down this route? I understand that due to the current day demand to use Diabetic injection medication to lose weight, sourcing Trulicity became a problem, it was only then I was told I shouldn't be on it! Just to also add that I never lost weight with Trulicity and my diabetes is genetic.
 
Welcome to the forum @Jenx2

Sorry to hear that the change of meds has been forced on you without much consultation/discussion :(

I’m not aware of the national guidance around Trulicity (Dulaglutide) having changed recently, so it does sound odd that you have been offered it for 4 years, but now are having to move to something else. Trulicity has been rather affected by the shortage in Ozempic (another GLP-1 medication) recently, so perhaps your local health authority have changed their rules?

Have you tried other oral meds in the past? Like Gliclazide, or an SGLT-2?

The NICE guidance for T2 seems to suggest that GLP-1s should be added as a third-line therapy if other options have already been tried.

Recommendations | Type 2 diabetes in adults: management | Guidance | NICE

www.nice.org.uk www.nice.org.uk

There’s also this NHS/NICE ‘flow chart’ for GPs, which outlines the evidences-based options for combinations of meds before insulin is initiated.

everydayupsanddowns

Thread 'NICE / SIGN flowchart for T2 medication'

Thanks to @gll and @Docb for recently sharing these helpful resources.

SIGN (Scottish equivalent to NICE) flowchart for the introduction of medications to help with T2 diabetes


And the section of the NICE guidelines on which the flowchart is based

Recommendations | Type 2 diabetes in adults: management | Guidance | NICE

www.nice.org.uk www.nice.org.uk

And again as a flowchart
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everydayupsanddowns said:
The NICE guidance for T2 seems to suggest that GLP-1s should be added as a third-line therapy if other options have already been tried.
Click to expand...
You can only stay on the GLP if you lose weight though, which @Jenx2 hasnt done?

“Only continue GLP‑1 mimetic therapy if the adult with type 2 diabetes has had a beneficial metabolic response (a reduction of at least 11 mmol/mol [1.0%] in HbA1c and weight loss of at least 3% of initial body weight in 6 months).”
 
Ah that’s a helpful spot @Lucyr - maybe that’s why they said the criteria weren’t met?

Have you tried other oral meds other than Metformin and Trulicity @Jenx2
 
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