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c/t2dglp1·posted 1 year ago by u/fabio_lehtinen

[Discussion] we are measuring T2D at the wrong time and calling it noise

Discussion Slow Clap ×1 Well Actually ×3

Posting this because I searched for it and got nothing useful.

Setup: 2.5mg, week 42, sulphur burps present but not ruining anything. I changed exactly one variable — metformin — and tracked it for 24 weeks.

Result: a difference, but a small one, and well inside what I would call noise if someone else posted it. So I am putting it here rather than presenting it as a finding. If two or three other people have done the same thing we might actually learn something.

Not medical advice, obviously. This is one person with a spreadsheet.

4,150 up / 1,608 down72% upvoted35 commentsid wnqovi1 Jan 2025

35 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/bianca_dziedzic228 points·1 year ago

Genuine question — what concentration were you at?

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u/britt_abubakar58 points·1 year ago·edited

Strongly agree. A1c matters as much as weight.

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[removed]83 points·1 year ago

[removed by moderator]

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u/runa_grimaldi104 points·1 year ago·edited

Genuine question — what concentration were you at?

Yes, exactly this, and it is the bit that took me 39 weeks to accept.

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u/arne_nyberg58 points·1 year ago

This is the "correlation is mechanism" thing again. You changed three variables at once.

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u/yannick_barros209 points·1 year ago·edited

CGM traces tell a story, numbers alone do not

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u/katrin_girard69 points·1 year ago

CGM traces tell a story, numbers alone do not

Yes, exactly this, and it is the bit that took me 51 weeks to accept.

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u/aleksi_eriksen141 points·1 year ago

Sweden here. Waited 2 months on a list, gave up, went private, and the total cost was roughly what I expected.

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u/fabio_lehtinenOP-28 points·1 year ago

Not convinced. The evidence does not support that reading.

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u/sunday_shot_sal1 point·1 year ago

post A1c with units and assay date

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u/yannick_barros0 points·1 year ago

A1c, CGM, stacking with metformin

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u/chain_confirm_cpayments1 point·1 year ago

Slight fix: the number was 99.2, not 99.1. Decimal point, but a fairly consequential one.

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u/katrin_girard62 points·1 year ago

The the food-noise thing was genuinely awful for three weeks and then simply stopped. I know that is not useful information, but it is what happened.

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u/hugo_norgaard46 points·1 year ago

Did anything else change in the same window?

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u/emil_okwuosa34 points·1 year ago

the weight-loss conversation drowns out glycaemic control sometimes

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u/marisol_moreau9 points·1 year ago

Second this question. I have wondered about T2D for 8 months and never seen a straight answer.

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u/chain_confirm_cpayments37 points·1 year ago

Rodent data is rodent data. Dose scaling is not linear and the models tell you what to investigate, not what to expect.

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u/camila_vasquez29 points·1 year ago·edited

A1c, CGM, stacking with metformin

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u/fabio_lehtinenOP12 points·1 year ago

the 87 A1c trend is the answer

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u/hamza_weiss23 points·1 year ago

the hs-CRP change is the signal

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u/source_or_silence11 points·1 year ago

Inter-lab variance on this kind of assay is routinely 1–2 points. Different column, different gradient, different integration.

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u/cormac_danquah5 points·1 year ago

post A1c with units and assay date

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u/sunday_shot_sal1 point·1 year ago

Strongly agree. A1c matters as much as weight.

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u/a1c_arcT2D9 points·1 year ago·edited

the TSH change is the signal

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u/katrin_girard3 points·1 year ago·edited

glycaemic control first, that is the original indication

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u/rania_marchand1 point·1 year ago

Edit to your parent would help — the concentration you quoted assumes one scenario and you have written another above it.

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u/cormac_danquah17 points·1 year ago

the weight-loss conversation drowns out glycaemic control sometimes

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u/osman_ferrari11 points·1 year ago

the 13 A1c trend is the answer

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u/joaquin_stanescu20 points·1 year ago

Yeah, glycaemic control is the original use.

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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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