Sunday, November 27, 2022

Once A Week Shot For Type 2 Diabetes

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What If I Miss A Dose

Good Health: New patch for type 2 diabetes

If you miss a dose, take it as soon as you remember, as long as its within five days of the date of the missed dose. Then take your next dose on its regular schedule.

But if the date of your next scheduled dose is only one or two days away, dont take the missed dose. Instead, just take the next dose on its scheduled day.

New Medication The First Approved Diabetes Drug To Target Both Gip And Glp

The drug is the first approved medication that targets two principal natural incretin hormones, GIP and GLP-1. Incretins are metabolic hormones that stimulate a decrease in blood glucose levels.

The approval was based on results from the phase 3 SURPASS program, which included head-to-head comparisons to the injectable Ozempic 1 milligram , as well as comparisons with long-acting insulin analogs Lantus and Tresiba . At the end of seven different phase 3 trials that lasted between 40 and 52 weeks, Mounjaro produced superior A1C reductions versus all comparators.

Mounjaro appears to represent an advancement over current GLP-1 analogues, providing enhanced glycemic and weight benefits without an added penalty in terms of gastrointestinal adverse effects, stated a after the publication of one of the phase 3 trials.

Mounjaro has not been studied in patients with a history of pancreatitis and is not indicated for use in patients with type 1 diabetes mellitus.

Does Ozempic Cause Weight Loss

Yes. A side effect of Ozempic is weight loss, and increasinfly people are using Ozempic for weight loss if they have have type 2 diabetes. Doctors are also prescribing it off label for weight loss in those without diabetes.

There have been a number of studies examining the effectiveness of Ozempic in managing type 2 diabetes. These studies, the Sustain studies, also looked at the associated weight loss in patients using Ozempic. Across most of the studies the average weight loss was about 5kg.

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What Other Drugs Will Affect Ozempic

Semaglutide can slow your digestion, and it may take longer for your body to absorb any medicines you take by mouth.

Tell your doctor about all your other medicines, especially insulin or other diabetes medicine, such as dulaglutide, exenatide, liraglutide, , Trulicity, Victoza, and others.

Other drugs may interact with semaglutide, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all other medicines you use.

Common Type 2 Diabetes Injectable Drugs

Once

There are a variety of ways to use insulin. Short-acting forms are for use just before meals. Long-acting insulin provides a base level of glucose control throughout the day. Finding the right approach for you may involve some trial and error. Here are 10 injectable drugs commonly prescribed for type 2 diabetes:

  • Albiglutide is a GLP-1 agonist. It comes as a pre-filled pen. You inject it once weekly under the skin. It does not matter when you give it as far as meals. If you want to change the day of the week you use it, you must wait at least four days from your last dose.

  • Dulaglutide is also a GLP-1 agonist for once weekly injection under the skin. It also comes in a pre-filled dosage form. Like Tanzeum, you can give it without regard to meals. You can change days of the week, but you must wait at least three days from your last dose.

  • Insulin aspart is a rapid-acting insulin you inject under the skin. It comes in two forms. One is for use 5 to 10 minutes before a meal. You can use the other 15 minutes before or after a meal. Ask your doctor or pharmacist about your dosing.

  • Insulin detemir is a long-acting insulin you inject under the skin. The usual dose is once daily with your evening meal or before bedtime. Sometimes, doctors recommend twice daily dosing.

  • Insulin glargine is another long-acting insulin. You inject it under the skin once daily at the same time every day.

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    Ozempic And Other Medications

    Below is a list of medications that can interact with Ozempic. This list does not contain all drugs that may interact with Ozempic.

    Before taking Ozempic, be sure to tell your doctor and pharmacist about all prescription, over-the-counter, and other drugs you take. Also tell them about any vitamins, herbs, and supplements you use. Sharing this information can help you avoid potential interactions.

    If you have questions about drug interactions that may affect you, ask your doctor or pharmacist.

    • Drugs that increase insulin. Taking Ozempic with drugs that increase insulin levels in your body can cause hypoglycemia . Examples of these drugs include:
    • insulin degludec

    Ozempic helps improve blood sugar levels in people with type 2 diabetes. It does this by reducing the amount of glucose in your blood.

    Fda Approves 20 Mg Dose Of Semaglutide Injection For Type 2 Diabetes

    Semaglutide approved as a once-weekly subcutaneous injection for the treatment of adults with type 2 diabetes.

    The FDA has approved a 2.0 mg dose of semaglutide as a once-weekly subcutaneous injection for the treatment of adults with type 2 diabetes .

    The action expands the indicated use of semaglutide, a glucagon-like peptide-1 receptor agonist , to include 0.5, 1.0, and 2.0 mg doses for the treatment of T2D, in addition to decreased risk of major adverse cardiovascular events in adults with both T2D and cardiovascular disease.In 2017, the FDA approved semaglutide at doses of up to 1 mg subcutaneously once weekly for the treatment of TD2 mellitus.

    We are pleased with the FDA approval for a higher 2.0 mg dose of Ozempic, which further supports our purpose of driving change in diabetes care, Martin Lange, executive vice president of development at Novo Nordisk, said in a press release. The approval of the 2.0 mg dose allows more people with type 2 diabetes to achieve and maintain individualized glycemic targets and remain on the same medication for longer as their needs evolve.

    The approval for T2D was based on results from the SUSTAIN FORTE trial of 2.0 mg semaglutide injection, which found that patients treated with a higher-dose of the GLP-1 RA experienced statistically significant and superior reductions in hemoglobin A1c at week 40 compared with patients on 1.0 mg semaglutide.

    Reference

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    Ozempic Use With Other Drugs

    Ozempic can be used alone or combined with other medications to improve blood sugar levels in people with type 2 diabetes. In diabetes treatment, two or more medications may often be used together when one medication doesnt improve blood sugar levels enough.

    Examples of diabetes drugs that may be used with Ozempic include:

    • canagliflozin

    You should take Ozempic exactly as directed by your healthcare provider.

    The Issues With Blood Sugar Levels

    GLP 1 Analogues: Long Acting Byetta BYDUREON- Once Weekly Treatment for Type 2 Diabetes Mellitus

    In diabetes, an A1C level refers to a persons blood sugar level.

    An A1C test measures the average blood sugar level over a 3-month period. The higher the A1C level, the higher the risk of complications from diabetes.

    Poor glycemic control increases the risk of diabetes complications such as retinopathy, nephropathy, neuropathy, and cardiovascular disease, Gabbay said. American Diabetes Association recommends an A1C goal of less than 7 percent.

    In people with type 2 diabetes and overweight or obesity, modest weight loss improves glycemic control and reduces the need for glucose-lowering medications, and more intensive dietary restriction can substantially reduce A1C and fasting glucose and promote sustained remission of the disease, he said.

    However, many people with type 2 diabetes find it challenging to reach their A1C goals through diet and exercise alone. This is where tirzepatide might be helpful.

    In the clinical trials, researchers reported that a significant number of participants prescribed tirzepatide achieved an A1C of less than 7 percent.

    With the highest dose, they were seeing an average 2.0 lowering of the A1C, which is just incredible when theyre starting with an A1C of 8 percent. We dont see that with any other agents that we have right now, Dr. Laurie A. Kane, an endocrinologist at Providence Saint Johns Health Center in Santa Monica, California, told Healthline.

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    Why May It Not Be Suitable For You

    • It is an injectable medication. The needles are as fine as those used for insulin. Please note Ozempic is not insulin.
    • Nausea, vomiting and diarrhoea are unwanted effects that occur in one in five people early in the treatment. These will reduce over time.
    • If you have other medical issues such as digestive issues, gastroparesis or diabetic retinopathy caution is advised.
    • You may be pregnant or planning a pregnancy.

    Is Ozempic Or Trulicity Better

    Both drugs seem to be similar in efficacy in terms of achieving glycemic control and helping reduce weight. One study compared the two drugs and found Ozempic to be slightly better. But its important to note that the study was done by the manufacturer of Ozempic. Consult your healthcare provider to see if Ozempic or Trulicity might be an appropriate medication for you.

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    Side Effects Of Trulicity

    Common side effects of Trulicity include stomach pain, indigestion, diarrhoea and loss of appetite. If you experience hives, difficulty breathing, or swelling, you may be allergic to Trulicity. You should seek emergency medical help immediately. If you feel any severe pain in your upper stomach, vomiting, or quickened heart rate, this could be a sign of pancreatitis Speak to your doctor about this as soon as possible.

    Other signs of serious aversion to Trulicity include swelling or a lump on your neck, low blood sugar the symptoms of which are explained here or signs of a kidney problem, such as painful urination and swelling in your feet or ankles. If you experience any of these, speak to your doctor as soon as possible.

    Rest assured that serious aversions to Trulicity are rare. They are listed here only on the off-chance that they affect you. Theres no need to worry about them unduly.

    What Is The Best Area Of The Body To Administer Ozempic

    FDA approves Ozempic, diabetes drug that also helps with weight loss ...

    The preferred site to administer the drug is the abdomen. Ozempic is only to be administered subcutaneously into the upper arm, thigh, or your abdomen. When administering into the same body region, e.g. your abdomen, choose a different injection site each week.

    Itâs important to change your injection site within the area you choose to inject, for example your thigh. It is important to change the site with each injection to reduce your risk of getting pits in your skin or thickened skin and skin with lumps.

    Here are some key points to remember when administering Ozempic:

    • Do not use the exact same spot for each Ozempic injection
    • Do not inject Ozempic where the skin has pits, is thickened, or has lumps â this can cause the Ozempic injection to not be effective
    • Do not inject where the skin is tender, bruised, scaly or hard, or into scars or damaged skin

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    Mounjaro Associated With Weight Loss In Clinical Trials

    Many of the participants in the Mounjaro trials also had overweight or obesity the average BMI was 32 to 34 at the time of trial enrollment. A BMI of 30 or higher is in the obesity range, according to the CDC.

    While the drug is not indicated for weight loss, average change in body weight was a secondary endpoint in all SURPASS studies, and participants lost between 12 and 25 pounds on average.

    Eli Lilly is seeking approval for tirzepatide for weight loss, and the company recently announced results from a phase 3 trial testing. Participants received the medication or a placebo over the course of 72 weeks, along with support to follow a calorie-restricted diet and to increase physical activity levels. On the highest dose participants had an average weight loss of 22.5 percent of their body weight 52 pounds.

    Who May Take Bydureon

    NICE guidance states that Bydureon is suitable for people meeting the following conditions:

    People with a BMI value below 35 may be considered for Bydureon if insulin therapy would have significant occupational implications or if the weight loss properties of Bydureon would provide significant medical benefit.

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    Weekly Injection To Widen Treatment Option

    Simon ONeill, Director of Care Information & Advocacy at Diabetes UK, said, We welcome this guidance because we strongly feel that a weekly injectable exenatide will widen the treatment options for people with Type 2 diabetes who may be struggling to achieve good diabetes control. For people who are currently using exenatide and injecting it twice a day, the possibility of instead doing it once a week could really improve their quality of life.

    NICE has not yet issued final guidance to the NHS. It is likely to publish the final guidance in February 2012. Until NICE issues final guidance, NHS bodies should make decisions locally on the funding of specific treatments. Once NICE issues its guidance on a technology it replaces local recommendations in England and Wales.

    So How Are Byetta Victoza And The New Bydureon Different

    Improved satisfaction in diabetes patients treated with once-weekly semaglutide in SUSTAIN trials

    is injected twice a day before your morning and evening meal.

    Victoza is given once a day instead of twice a day .

    The just-approved is an extended release form . is attractive because it is a once-weekly injection.

    While all of them may cause some nausea/vomiting, this is higher with and was the most common adverse event associated with . The nausea/vomiting decreases in frequency and severity over time.

    Reports of pancreatitis have dogged all of these medications and are something we need to keep a close eye on.

    once weekly may also carry the indication for monotherapy as opposed to the other two which are added to your other oral medications for diabetes .

    Dr O.

    and Victoza are both typically considered Tier 2 medications by insurance, meaning youll have a moderate co-pay. It is likely that will also be considered a Tier 2 drug, but possible that as a new medication it may be Tier 3, meaning a higher co-pay, or not covered. ranges from about $150 $300 per injection, depending on the strength, and Victoza tends to cost about $125 $175.

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    Fda Approves Diabetes Drug That Also Helps With Weight Loss

    TRENTON, N.J. U.S. regulators on Tuesday approved a new diabetes drug that reduces blood sugar levels and also helps people lose significant weight. Danish drugmaker Novo Nordisk said the Food and Drug Administration approved its once-a-week shot for people with Type 2 diabetes. The drug, Ozempic, also known as semaglutide, works by stimulating the body’s own insulin production and reducing appetite.

    In one big company-funded study, Ozempic, on average, reduced long-term blood sugar levels at least 2 ½ times as much as a popular daily diabetes pill, Merck & Co.’s Januvia. It also helped study participants lose two to three times as much weight as those in the comparison group.

    Over 56 weeks, patients who got a lower dose of Ozempic lost an average of 9.5 pounds while those who got a higher dose lost 13.5 pounds . The patients who took Januvia lost an average of 4 pounds .

    The 1,200 study participants were also taking one or two standard diabetes medicines.

    Novo Nordisk, a leader in diabetes care, has also been testing the drug separately for weight loss alone.

    Many Type 2 diabetes patients are overweight or obese, and losing significant weight usually helps them reduce their blood sugar and better control their diabetes. Over time, too high sugar in the blood can damage multiple organs and weaken circulation.

    The Next Generation Of Diabetes Therapies

    Our discovery of SMOC1, which is naturally produced by the liver and is released into the blood when glucose levels are high, could offer a new way to control blood glucose.

    We initially discovered SMOC1 as a protein that was released from mouse liver cells . Its release increased when liver cells accumulated excess fat.

    We further found SMOC1 levels in the blood to be reduced in people that are insulin resistant . Based on our animal studies and studies using human liver cells, we anticipate SMOC1 could be effective in people with type 2 diabetes, whether advanced or newly diagnosed. SMOC1 could make daily medications a thing of the past, boosting a patients quality of life.

    Given the prevalence of type 2 diabetes, this would help reduce the public health burden of the disease, with patients potentially needing fewer hospital visits and shorter hospital stays.

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    What happens next? We will need to test SMOC1 in humans, and enlist the help of the pharmaceutical industry to help develop this potential new therapy.

    With the right support, SMOC1 could move to human trials within six to eight years, helping us get closer to reducing the global public health toll of type 2 diabetes and obesity in general.

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    How The Drug Could Help

    Kane said the approval of tirzepatide is good news for people with type 2 diabetes because the results associated with the drug are better than those from other drugs currently available.

    We know anything that helps with weight loss is always going to improve their diabetes control, that will lower blood sugars almost without a doubt, she said.

    Whether its lifestyle, medication, supplements, or surgery, weight loss always improves glycemic control. And the amount of weight loss plus glycemic control from the agent is better than anything we have right now, Kane said.

    Gabbay agreed the results of the trials are promising.

    The SURPASS trials continue to show tirzepatide is associated with impressive A1C and body weight reductions, with no significant increase in hypoglycemia in people with type 2 diabetes. The SURPASS-4 trial showed that participants maintained A1C and weight reductions up to 2 years with no excess cardiovascular risk, he said.

    will be a significant addition to our tools to help manage peoples diabetes, Gabbay said. The majority of my patients with type 2 diabetes are overweight, and therefore would benefit from this treatment. It also could be a wonderful tool early after diagnosis to help people with diabetes enter remission.

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