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c/t2dglp1·posted 6 months ago by u/baseline_drifter

[Meta] proposal — a flair for hypoglycaemia posts

Question Clean Column ×6

Genuinely asking, not being difficult.

Everyone in c/dosinglogs repeats that glycaemic control is important. I believe it, but I have never seen anyone show why, and when I search I get 4 threads of people agreeing with each other.

Is there a paper? Is there a measurement? Or is this one of those things that is true because it has been repeated since 2023?

I am not trying to be the "source?" guy. I would just like a source.

777 up / 118 down87% upvoted27 commentsid x8b0v26 Jan 2026

27 comments

25 in this archive, depth 4

best — the order this archive was captured in

u/chain_confirm_cpayments108 points·6 months ago

This is correct. Hypo risk is real.

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u/adnan_karlsen71 points·6 months ago

Poland here. Waited 19 months on a list, gave up, went private, and the total cost was roughly what I expected.

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u/chidi_abubakar31 points·6 months ago

Poland here.

Yes, exactly this, and it is the bit that took me 60 weeks to accept.

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u/osman_ferrari-34 points·6 months ago

A1c, CGM, stacking with metformin

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u/sanne_laurent92 points·6 months ago

insulin and sulfonylurea interactions are real hypo risk

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u/bianca_dziedzic81 points·6 months ago

A1c, CGM, stacking with metformin

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u/yannick_barros43 points·6 months ago

Yeah, glycaemic control is the original use.

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u/sock_puppet_spotter0 points·6 months ago

That is net peptide content, not purity. Different number, different meaning.

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u/piotr_bruun50 points·6 months ago

Mechanistically the bit that matters is glycaemic control. It explains most of the early profile and a decent chunk of the outcome.

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u/fridge_door_no32 points·6 months ago

You have restated the marketing copy. What is the actual substance here.

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u/fabio_lehtinen25 points·6 months ago

That is net peptide content, not purity. Different number, different meaning.

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u/ingrid_correia22 points·6 months ago

glycaemic control first, that is the original indication

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u/gustav_lindholm25 points·6 months ago·edited

You have restated the marketing copy.

Adding to this: metformin is doing more work than the comment implies.

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u/baseline_drifterOPanalytical34 points·6 months ago

Came off after 27 weeks for financial reasons. Regained about a third over the following year. Back on now at a much lower dose.

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u/georgi_haddad43 points·6 months ago

Maintenance for 13 months now. Weight moves within about 3kg and the dose is a quarter of what it peaked at.

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u/wanjiru_osei20 points·6 months ago

Did anything else change in the same window?

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u/baseline_drifterOPanalytical9 points·6 months ago

the UK here. Waited 9 months on a list, gave up, went private, and the total cost was roughly what I expected.

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u/swirl_dont_shakereconstitution4 points·6 months ago

A1c, CGM, stacking with metformin

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u/joaquin_trevino14 points·6 months ago

Yeah, glycaemic control is the original use.

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u/source_or_silence7 points·6 months ago

The thing nobody prepared me for was the quiet. Not the appetite, the quiet. The constant negotiation in my head about food just stopped.

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u/rui_only_ro5 points·6 months ago

the fasting insulin change is the signal

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u/kian_solberg11 points·6 months 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/a1c_arcMOD6 points·6 months ago

Removed a chain here. The rule is one line long and it is not negotiable.

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u/freya_onwuka5 points·6 months ago·edited

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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