Ozempic with BMI 26 & blood sugar issues

[Anyoneelse1]

I’m sure I will be berated for this but here goes:

firstly I don’t live in the UK, so follow different guidlines.

I am in the (slight) pre diabetic range for blood sugar, with significant family history of type 2. My BMI is around 25.5/26. In my country Ozempic is allowed for weightloss with BMi of 27.

I am about 7 kg off my “happy / healthy” weight and despite healthy diet and 6+ hours per week exercise, I can’t shift the scales.

I don’t (according to blood test) have insulin resistance but my blood glucose is on the high side.

my dr recommended a short course of ozempic - 2/3 months to 1) lose the weight which may lead to 2) lowering blood sugar levels. Usual routes to bring these numbers down haven’t worked.

has anyone else used ozempic with this BMI? I feel nervous to go on serious medication for 5kg - but I do have to consider the pre diabetes implications if I can’t lower naturally.

sorry for the long post!

thanks

I took it but didn’t lose much, couple of pound. BMI 27. I went up to quite a high dose. It didn’t do anything apart from give me diarrhoea all night every night.

CICO is nonsense. Compare 1000kcal of sugar glazed donuts with 1000kcal of salmon and eggs. Insulin is the primary driver of fat storage - keep it low by avoiding carbs (complex and refined).

if you ate 1000 calories of doughnuts and nothing else you would still be in a deficit, and could lose weight - you would just add in other health problems like lack of vitamins and too much sugar and you would feel like shit.

Hormones play a part in weight loss/gain and quality of food is important for health but 1000 cals of x food vs y is still the same number of calories.

Both can be true at the same time it is not a war between the 2 things.

What you mean, and I mean is that it’s more nuanced than just CICO, so if you eat a lot of UPF’s you are more likely to be hungry and eat far more of them than you would if you ate salmon. It’s also hard to know exactly how many calories food has in them, and how your body breaks them down.

problem is all these CICO debunk theories always go back to things like ‘ starvation mode’ kicking in when you cut 500 calories off your diet 🙄 and ‘slowing down your metabolism’ and ‘set points’ which is a theory.

Yes starving yourself is bad for you. Eating LESS FOOD, and GOOD food will help you lose weight and feel good. CICO is not irrelevant in the same presence as hormones/insulin responses

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5496172/

https://pubmed.ncbi.nlm.nih.gov/28765272/

find me a full scientific study that is not an article in a magazine for hype/clickbait and I will read it for sure.

what is meant when you see these CICO debunking is that it is no longer thought to be the sole cause of obesity. It is NOT discounted entirely - it is just that it is nuanced and complicated with other factors involved. Telling people CICO doesn’t matter does more harm than good as it leads to the very frustrating ‘intuitive eating’ movement which is absolutely awful for people who struggle with binge and over eating

If starvation mode was a thing, people wouldnt die of starvation.