Anyone a diabetic and on private prescription for Mounjara

[Mindovermatter45]

Hi,

Anyone been on this and had diabetes type 2 reverse/go into remission?

I may have been a bit silly as have come of MJ to sort periods (hopefully) and did diabetic blood work inside 30 days of being off it and the mnol has come back in the 30's with a suggestion that I come off the medication that the nhs currently prescribe Metformin.

The diabetic nurses do know I have quite a history privately with the injections I was originally on daily Saxenda happily until stock issues happened in summer 2023 and so I'm just mindful I'm passing if not passed 2 years of being on the injections 2 years and this is now the second review with a query. I just wonder if anyone else has had this but I appreciate it may be to early for many diabetics.

"did diabetic blood work inside 30 days of being off it and the mnol has come back in the 30's with a suggestion that I come off the medication that the nhs currently prescribe Metformin."

I'm not sure I understand, was that an HbA1c test that "came back in the 30s"? 30–35 mmol/mol is the optimal level for people without diabetes so if so that is wonderful news. Do you have any other health conditions that make you want to keep taking the metformin?

I've had a continuous glucose monitor for a couple of years, and since I started on Mounjaro last June my Time in Range has been between 96 and 100%, but the HbA1c tests I've done were 40 and 39 mmol/mol so I'm well impressed by your "in the 30s".

I'm currently on 5 mg Mounjaro from the diabetes clinic and 7.5 mg from Voy. 2 separate injections totalling 12.5 mg per week. With the full approval of the diabetes consultant who wished he could prescribe the higher doses for his obese patients. The NHS prescribing rules do not allow him to prescribe more than a maximum of 5 mg for diabetes and our local Obesity clinic is geared towards surgery, not injections.

The plan is that once I get down to a normal BMI I will cancel the expensive private prescription and use the 5 mg from the NHS to control my diabetes and maintain the new weight.

Ah right thanks, I've been urged to book in to see the diabetic nurse as soon as possible. I'll just listen to what they say as much as I want to get off Metformin, none of my other conditions rely on it. got to have a grumble they didn't include the under active thyroid test. I haven't lost 10 stone or adopted the weight loss drug face.

I live in what could be a deprived area and was told only a soup and shakes diet was possible a few months ago which I couldn't quite understand having been a GLP1 patient before anyway and if I was expected to pay for it after 2 deliveries would carry on as I was so I'm hoping that they don't expect me to crash diet if I were to put some weight back on. Before that I was told Mounjaro on the nhs no chance. To be fair I am grateful I did get an old accu-check machine on the nhs and get strips on prescription whereas my Dad's diabetic nurse in another county argues he has a type 1 daughter for me to be given the machine so it does seem a complete lotto.

I'm just reserved remembering the injection shortage in summer 2023. I can't explain it well.

The shortage didn't hit here until September 2023 when all liraglutide supplies dried up. I have since heard that liraglutide is being phased out though perhaps it remains available for private weight loss prescriptions?

Semaglutide (wegovy/ozempic) is made in Denmark, and although the producers keep building new production lines there's a possibility they may have trouble keeping up with demand.

The arrival of Mounjaro has taken some of the pressure off them, and since Mounjaro is produced in the USA I assume there are plenty of states ready to set up production so less likelihood of supply shortages.

If you are honest with the diabetes nurse and tell her your excellent blood test results were probably due to your taking Mounjaro then there's a chance you might be able to get an NHS prescription for Mounjaro. They are limited in not being permitted to prescribe doses above 5 mg, but that should be sufficient to keep your blood glucose under control.