Victoza for People with Type 1 Diabetes? (continued)
My CGM tracings have also improved markedly. They are not perfectly flat, but they are much flatter than they were and now they zig-zag more within the zone, not outside it! If I eat Chinese food or pizza, my blood sugar numbers will still go sky high (we haven't cured diabetes, after all), but it's far more likely I pick up my CGM these days and see 80, 90, 119 mg/dl. What is amazing is how many fewer highs I have — and this has made me realize how many highs I was overtreating and then going far too low, overtreating, etc. The numbers look good — the time spent high (over 180) has gone down 70% and my time in zone has increased 20 percentage points to over 70% (on my CGM, my time in zone is between 80 and 180 mg/dl). And, I've lost nearly ten pounds! I did get my A1C checked when I began Victoza and it was 7.1% — not as low as I'd like, but I really feel Victoza has had an effect and I feel certain (and will update this column!) the next score will be lower. I'll have my A1C checked again at the three-month mark, but I can already tell from my CGM that because I'm "in zone" so much more that I'm doing much better. Another piece of good news is that my hypoglycemia in the day has been reduced (since I'm not chasing so many highs down); I also think the average hypoglycemia rates will drop in the early morning hours once we refine the best basal rate (we're still dropping them).
The biggest bonus may be something that no one can quantify: I feel better and am somehow less tired. My wonderful husband said to me a couple of weeks after going this GLP-1, "You're so much nicer on Victoza!" Wow. What more could anyone want.
Oh. One other very important thing. Victoza is expensive, so I'm lucky that my insurance did actually approve it. (I got my first two pens as samples from my doctor.) My co-pay isn't insignificant at $50, but this would be over $300/month without insurance, so I'm very happy about the cost, whether or not it is a mistake. (Victoza isn't approved for type 1 so I'm surprised that my insurance did approve it, since insurance typically does not cover therapies for off-label uses — I'm hoping this lasts but nut necessarily expecting it to.)
Boston Brown Bread Cereal Toss Macaroni and Blue Cheese Salad Tomato Basil Pesto Double Potato Bisque Pizza Meatloaf Almond Stuffed Baked Apples with Caramel Sauce Tomato Pudding Applesauce Squares Pan-Fried Coleslaw
Many people say that depression is a side effect or complication of diabetes. Without discounting the association of the psychological condition with the physical one, I'm not convinced that our high and/or unstable glucose levels are directly responsible for that change in our mental state. My belief is that the unrelenting need for self-care, for following the sort of care schedules that can drive licensed, professional caregivers crazy, is what overwhelms us...