I’m really interested in lowering my total daily dose of insulin without excessive diet modifications. I’ve gained about 10 lbs in the 4ish years I’ve been on a pump, and I’m sure it’s because of all the insulin I’m taking and not lifestyle choices. I’m becoming quite insulin resistant despite my small size. I’m not interested in a ridiculously low-carb diet. I do best with moderate amounts of carb, and usually come in under 100g per day.
For about 18 months I’ve been taking Metformin, and it does seem to help, but minimally so and it doesn’t seem consistent. I’ve been reading up on GLP-1 RAs, and think I’d like to switch, but I’d love feedback from other type 1s who’ve tried them… And hopefully some who have tried more than 1! The data is virtually non-existant for Type 1s, but I know some practices are recommending them.
Is there a preference? Rybelsus sounds by far the best, being oral, but it’s not preferred by my insurance and I’m not even sure I could get the prior authorization after trying all the preferred ones under deeper scrutiny, being type 1. My options are pretty much between Victoza (once daily injection) and Trulicity (once weekly). The other option is getting discounted. I’m all for reducing the number of injections, but I’m concerned that some people actually gained weight in Trulicity’s clinical trials… but maybe they’re exceptions to the norm?