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OZEMPIC !

B

Barney61

New Member
Relationship to Diabetes
Type 2
Good Morning All - the struggle continues. As of last Friday I've been put on Ozempic (0.25mg initial dose). This seems to be working really well - initially at least. I'm giving it every chance as I've adjusted my diet to help it along.
The problem is that even though I've adjusted my basal insulin from 40 to 36 I'm getting nocturnal hypos. I'm going to reduce again but my question is - Does anyone have anyone have a similar experience and what was the magnitude of the reduction?
I've stopped my rapid acting insulin for the moment.
Any advice welcome.
Thanks
 
I will tag @goodybags who may be able to help as he has been using Mounjaro with insulin and reducing his insulin, although I think he is on mixed insulin, so perhaps not an identical situation.

Which basal insulin are you using and when do you take it?

Are you using a Constant Glucose Monitor or finger pricks to check these nocturnal hypos as the sensors can be prone to compression lows (report false lows when you lie on them)
 
Thanks - I'm on Toujeo which I take first thing in the morning ( straight after wordle !).
I use a CGM. I'll check it against finger prick - thanks for the input.
 
Hope you are able to wind down those doses to keep you bobbling along above 4.0.

Have you experimented with skipping a meal? Your basal should just hold you level +/-1.7mmol/L from your starting point until your next meal. If your basal is causing a continued drop when you skip a meal, it can be in indication that it’s still set slightly too high.

This is written for T1 pump users, but can be adapted:
www.mysugr.com

How To Successfully Test Your Basal Rate

Are you looking for basal rate information and testing instructions? Perfect! You're in the right place!
www.mysugr.com www.mysugr.com
 
although not on Ozempic anymore, I was and I did reduce my insulin dose when I was on Ozempic (that was a few years ago)
yes your correct @rebrascora, unlike @Barney61 I am on (or should I say was on a mixed insulin - currently apart from one occasion haven’t taken insulin for just over a month)
i have been taking Mounjaro for the last 12 months, it was decided other meds might be motre suitable for me as already had diabetic retinopathy prior to using Ozempic.

the DSN / GP advised me when to reduce and by how much, in-fact over the last 12 months about every 6 weeks I’ve received a phone call from the GP as I’ve been upping the dose of Mounjaro and decreasing my NovaMix, good that your using both CGM as a guide so you can monitor easily, hope Ozempic helps you @ Barney
 
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