Reply to Prescription for Wegovy but $1500?!?!

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]All very helpful thank you! My A1C is 5.2 so not prediabetic at this time. I know that it’s common for PCOS so will watch out for that.

-OP[/quote]

This is likely a PA issue as others have stated. But I have PCOS and my A1C is also not prediabetic, I also have great fasting glucose levels. The trouble is when I actually eat. An insulin resistance test or glucose tolerance test is actually more effective for most people, it is just more time consuming and expensive. [/quote]

True but wouldn’t that drive the A1C higher as time passes?

My son has Type1 so I’m all to familiar with blood sugar monitoring. [/quote]

Insulin resistance is when cells in your muscles, fat, and liver don’t respond well to insulin and can’t easily take up glucose from your blood. As a result, your pancreas makes more insulin to help glucose enter your cells. As long as your pancreas can make enough insulin to overcome your cells’ weak response to insulin, your blood glucose levels will stay in the healthy range.

So what ends up happening is it like every time you eat your pancreas is producing more and more insulin to get it into your cells but then you run the risk of you know your blood sugar dropping too low which is what happens with me like the 3-hour glucose tolerance test for me takes me all the down down to like low 40s 50s by the end of 3 hours. So you can imagine by the end of like 2 to 3 hours I'm not feeling good and my body is sending all the signals to ingest more glucose because my blood sugar is dropping. 
 
It's a really disordered feedback loop.

Glp 1 agonistso help with not only your pancreas response but also they lead you to feeling more satiety. And it helps control blood sugar levels both from going too high but also going to low. A lot of the times with insulin resistance because of the lack of receptability of the cells your body is having to produce and produce and produce to get the one of the fact but then it might over correct. 
 Again it's a little different from my understanding from diabetes because the issue is not with your pancreas being able to produce insulin it's actually within your cells being able to uptake glucose. 
[/quote]

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