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c/t2dglp1·posted 2 months ago by u/graph_it_gary

tried glycaemic control for 4 weeks. here is what happened.

CGM Clean Column ×8

The title is the argument: tried glycaemic control for 4 weeks. here is what happened. Here is the rest of it.

Since the title puts numbers in the shop window: 4 weeks.

The diabetes and obesity programmes are separate, with different populations and different primary endpoints. Reading a result across from one to the other is not a comparison.

Sensor accuracy varies across wear, and readings on the first day are the least reliable. Calibration practice and compression artefacts explain many alarming single values.

Not medical advice, obviously, and nothing here is approved for human use. One person with a spreadsheet.

2,976 up / 2,196 down58% upvoted16 commentsid 1vwoty3 May 2026

16 comments

8 in this archive, depth 3

best — the order this archive was captured in

u/camila_vasquez178 points·2 months ago

Postprandial excursions typically respond earlier than fasting glucose, so the sequence people observe is not a sign that something is not working.

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u/joaquin_trevino43 points·2 months ago

Postprandial excursions typically respond earlier than fasting glucose, so the sequence people observe is not a sign that something is not working.

Adding the obvious one — bring the export, not the single number, to whoever manages this.

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u/hugo_norgaard138 points·2 months ago

the diabetes trials report different endpoints from the obesity ones

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u/graph_it_garyOP102 points·2 months ago

Assumed the weight endpoints from the obesity trials applied to my situation. They are different programmes.

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u/hassan_ostergaard79 points·2 months ago·edited

Incretin-based agents stimulate insulin secretion in a glucose-dependent manner, which is why hypoglycaemia risk with them alone is low. Risk rises with agents that act independently of glycaemia.

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u/graph_it_garyOP31 points·2 months ago

My TSH moved and it turned out to have nothing to do with glucose at all.

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u/tired_ledger_notes13 points·2 months ago

Certain conditions affect A1c independently of glycaemia. If a result looks inconsistent with the sensor data, that is a question for whoever manages your care rather than for this board.

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u/hassan_ostergaard0 points·2 months ago·edited

This. Hypoglycaemia risk in this class is driven mostly by the other agents in the regimen.

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About c/t2dglp1

Type 2 diabetes as the original indication: A1c trajectories, CGM traces, hypoglycaemia risk when stacked with sulfonylureas or insulin, metformin combinations, and why the weight-loss conversation sometimes drowns out the glycaemic one.

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