Is Insulin Required While On Bydureon Injection And After Undergoing Weight Loss?

Posted on Sat, 7 Apr 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 7 Apr 2018 Answered on

Thu, 13 Jul 2023 Last reviewed on

Question : Hi I am a recently diagnosed type 2 with an in an initial a1c of 14, 1 month later 12, 1 month later 9. I am on Metformin and once a week bydureon injectable. I went to a nutritionist and have been following her advice and I have lost 30 lbs since diagnosed. I have another a1c at the end of May do you think I will have to go on insulin?

Answered by Dr. Mirjeta Guni (6 hours later)

Brief Answer:

About type 2 Diabetes;

Detailed Answer:

Hello,

Patients obese or overweight with type 2 Diabetes have an excellent response to weight loss.

First of all, I would congratulate for the weight loss and ensure you that A1c should be far better this month.

Metformin and exenatide improve the A1c levels in overweight patients and this is clearly seen in your case.

What is problematic in these cases, is the fact that many patients regain the weight after some months, so you should do the utmost to maintain the actual weight or probably to lose more (if you are still overweight).

Not only you won't need insulin but you may take off exenatide if you get back to normal weight.

Hope I have answered your query.

Take care

Regards,
Dr Mirjeta Guni, Endocrinologist

Above answer was peer-reviewed by : Dr. Arnab Banerjee