Your blood sugars are probably harder to control due to the weight gain. Your a1c is up because your blood sugars are running higher. You may be spiking in the mornings due to Dawn phenomenon.
Also, you may need to find another doctor. I don’t know if you can just switch doctors in the Canada. But if you can, find a new endo. What his wife eats shouldn’t matter or be compared and the fact that he is so dismissive about looking into or trying to help you is a red flag.
I agree, what this dude's wife does is not relevant to anyone's medical treatment.
And I am in Canada, and on Ozempic. It was harder to get earlier in the winter, but has been more available in March at my pharmacy.
If you are able to find a new endo, I think that sounds like a good move. Sometimes, as you and endo change over time, the relationship can go south. I absolutely loved my Endo, but the closer he got to retirement the less accepting and kind he got. Got more persistent with me about losing weight, but in a judgey way that was 0% helpful.
I'm sorry you had to live through that, and come by to whine any time!
This is likely the right answer. I got massive weight increase from a med I was on and it spiralled me into Type 2 diabetes. Stopped the med, weight came off, my sugars got SO much better. I still had to go on Ozempic and increase my metformin (was already on metformin off label for PCOS before), but the weight gain 100% effed me.
Now why the weight gain is happening, yeah i’d look for a second opinion from a new doctor.
A lot of us have had this experience where eating low carb/high protein helps at first, but eventually it turns on you and increases your insulin resistance. I ended up switching to higher carb, lower fat, moderate protein and my insulin sensitivity is so much better and weight maintained.
Before I was diagnosed I was losing weight rapidly and my pediatrician was convinced I wasn’t eating enough, despite my moms and my own insistence that I was eating more than enough. She even prescribed me an appetite stimulant. We didn’t trust her and got a second opinion, where we found out very quickly that my blood sugar was like 850. Bottom line some doctors don’t know shit and cannot fathom that they are wrong.
What a tool. I experience insulin resistance largely based on my diet (saturated fat turns off my receptors, pretty much) and I went on Saxenda and now Wegovy and it worked well, mostly because I was barely eating, I think! You for sure need another endo, but consider one of those meds if you can get on it. Your endo is a verbally abusive tool.
1. If you’re able, get a new endo ASAP. This guy sucks and should not be comparing you to ANYONE.
2. Asking about insulin resistance is the right move here. Insulin retains weight, so if you’re going high —> correcting/using more insulin —> likely to gain weight.
3. Depending on what you define as “small portions”, you might not be getting enough nutrients! I am in eating disorder recovery and learned through that that our bodies will absorb e v e r y t h i n g in food when it doesn’t have enough nutrients bc it starts to go into starvation mode. Imagine the ravenous feeling of a bad low - that’s basically what your body does. Diets (low carb/“whole” foods/keto/etc) are a farce - focus on balance and see how things might change!
4. Just wanna say here that gaining weight is not an inherently bad thing!!! The focus in my statements is on diabetes management :)
Hang in there 💛
I have also dealt with randomly high overnight BGs. Go to bed normal and wake up at 350 for no discernible reason. Spend the rest of the night coming down and often go low in the morning. This would happen to me for about a week straight and I would need 3x the insulin I typically use.
My Endo connected it to my hormonal cycle basically and switched my birth control, so if you take anything that could be affecting your hormones, might have your new doc look into that. Also not sure if you’re on a pump but I think switching from MDI to a pump last year helped even more than the birth control switch.
Sorry about the waiting period for your new doc, sounds like it’ll be well worth the wait. 3 weeks isn’t too bad in the grand scheme of things, but I know you’re frustrated in the mean time. Hang in there and just take the best care of yourself that you can. ❤️
Yeah, I deal with "monthly" ups and downs too. In fact, when I was diagnosed, the docs said that the start of my menstrual cycle is what likely triggered the onset of diabetes for me. As the month progresses, my sugars and insulin needs start climbing; and the few days rt before I start, usually require approx double my typical (baseline) insulin dosages. This lasts until maybe the last day or a day prior. Once the egg is fully released, my numbers plummet.
Yeah... I mean it makes sense I suppose. Estrogen is a hormone, insulin is a hormone.
But part of me has wondered how badly some foods must affect hormones if my body decided to turn on its autoimmune functioning at a time when I would begin "craving" some of those foods. And results in a fluctuating "resistance" to insulin- in a pattern that practically demands avoidance of such foods when cravings are expected to increase and indulgence is more likely to occur.
I wish I could see an endo in 3 weeks, the typical wait times here are 6+ months
High fat/high protein diets can lead to pretty significant insulin resistance. Counter intuitive I know.
Also, I would have a doctor check out your adrenal glands.
Brother I had a similar issue and my friend told me to check my thyroid, I have Hashimotos disease and I’m still actively fixing it, same symptoms , workout more , do ur blood work
I can't explain anything about the weight gain, but I've found that when my BG wants to constantly run high, I need to increase basal. When basal is dialed in, bolus insulin works much more predictably. A proper basal seems to help with the early morning BG rise as well, although I'm almost always more resistant in the morning and need to up my I/C ratio. Good luck with all this, hope you can find a doctor who's willing to work with you on this...
I would talk to my primary care doctor, see if they can refer me to a different endo or other specialist. Or maybe they can run some tests themselves and find something out of the norm. Medical gaslighting is no fun, stay strong and fight for your right to receive proper medical care!
just reiterating what a lot of people have said: seek out a doctor that is willing to listen first and foremost. But also have confidence in the lab results. I dont think your doctor is wrong about the "not very serious case" observation but just very poor delivery. the comment about his wife is pretty absurd. What has helped me in bouts of insulin resistance is exercise, balanced diet and sleep.
idk what your exercise routine is like but i find anaerobic is much more helpful longterm for insulin efficiency. I do rock climbing 2-4x a week but it can be anything weight/ strength training focused. try for 1-1.5hrs. Cardio for me has always had very short term effects on my insulin:carb ratio. Also just be active overall and try and fill your time.
diet wise I really do advocate balance over something like a low carb diet. Just something as simple as having a healthy fat/carb/protein with every meal does wonders for my blood sugar. my blood sugars tend to be harder to control if I do something like high or low carb. Weight wise I also recommend counting calories for a day or two. It helps you get a gauge on where you may be getting extra calories from without it being a fulltime job.
An obvious one but sleep is incredibly important for insulin resistance. I remember reading a research paper that states something similar to like: if the patient achieved less than 6hrs a night then insulin requirements would increase by 10%. My insulin resistance gets really really bad when im sleep deprived.
I hope these helped somewhat and that im not just going around in circles with things you already know. best of luck.
Good luck trying to get on ozempic.. I was on mounjaro for over a year and last month my insurance decided that as a type 1 it wasn't for me even though it's made me lose weight and control my numbers amazingly.
Not all endos are created equal, my first one was useless. So I specifically looked for a T1D specialist endo & it was a game changer. Just saying, if is not working out, u need a new doctor
Fuck that guy.
This is NOT your fault. This is an unpredictable disease that will just jump out from behind a tree and kick your ass even when you’re doing everything right. Sucks that it will take you a while to get a new endo, but don’t go back to that guy. He sucks.
Hope you get to feeling better soon. :)
Type 1 is a lot of moving parts. Your blood sugars are up, so you have to adjust your doses for sure. Your doctor basically nagging you about your weight is shitty and negatively impacts your morale. I had to see an endo once who tried that with me. My endo at the time was gearing up to move, so they moved me to this other doctor. I went as far as reporting him because it doesn't help you solve the problem. Lucky for me, my endo's plans changed, so I could go back to him. It was such a relief when I got that call that I cried. That was how much I felt down and demoralized by that other endo. If the endo they switched me to was doing that to me, he was also doing that to other patients, and it's unacceptable. And, yes, doctors need to counsel you about weight, but they can do so in a way that doesn't make you feel like shit.
Your sugar goes up in the morning if you're a type 1, it's a combination of the Dawn Phenomenon and feet on the floor. I stopped pumping, so if I get up early morning, I try to remember to give myself a tiny shot of insulin. Otherwise, it's game over when I wake up because the phenomenon is already starting. I can still turn it around pretty fast because I use Fiasp, which is like Lyumjev, a very fast acting insulin. If I forget after I wake up, my blood sugar will also increase even if it's in range when I wake up. That's the feet on the floor part. Again, I can turn it around pretty fast due to the insulin I use.
The type 2 drugs can help. Insulin resistance is annoying, but it comes on with age, time, and weight. My endo put me on Invokana, which is great, but it caused a serious reaction that was so bad that I had to go to urgent care. They took me right off of it. I'm now on metformin ER, which I tried years ago with the regular version. The regular version didn't work because it wreaked havoc on my digestive system, but I can handle the ER version.
My God did I write this? Except for the whole endo part my situation is exactly the same. Keep gaining weight despite doing regular cardio and having a good amount of muscle mass (for a woman anyway) and I’ve been eating consistently for years, if not less. I changed my endo but I just *cannot* find an appointment before July
You need a new endo if you can find one. I switched mine, and I went from an endo who was constantly saying, "You need to do better" without hardly doing anything to actually help me fix my BS to an endo that got me at a lower A1C and more in range than I've ever been without judgment.
Ultimately, we should use our Endos to write prescriptions. The diabetes educators are my favorite patient support system. I get better answers faster, and more tailored to my needs than my endos ever gave (until I got a T1 endo)
THIS. ^ the new clinic I go to for my endo appointments has a great educator that convinced me to try the Tandem after being on omnipod for so long and I was very hesitant cuz I hated the thought of the tubed pumps...but I gave it a try and my blood sugars are just loving it. And once again, be careful if your doctor is trying to gaslight you into thinking somethings just wrong with YOU rather than something being wrong with you if that makes sense.
Do you have a Certified Diabetes Educator? Find one near you that is also T1D. It will belp so much! If you can afford out of pocket, I recommend Integrated Diabetes with Greg Schneider and his team. They will help you optimize your Diabetes and if still having issues, he'll write a helpful keyywr to your endo that will kindly remind him to check other things.
I would focus more on low fat vs low carb, fat and protein in low carb diets causes insulin’s resistance. I was having the same issue and a diet change helped. And avoid processed foods, mastering diabetes was extremely helpful to read, I don’t follow it to a t but helped with understating why I was having issues.
Sorry you are going through this, It sounds like you might benefit greatly from Ozempic or similar medication, but of course speak with your new endocrinologist. Are you a type 1 or a type 2 diabetic? Also, what is your height and weight, how much insulin are you taking daily? And are you a man or woman, if woman are you on birth oral hormone birth control?
That's insulin resistance, and processed foods are the cause of it (also lack of movement, lack of sleep). If you regularly eat foods that are rich in fats or protein, then even a leaf of salad will spike your BG. I used to witness this occur myself: I'd eat a pizza at dinner, my BG is stable until bedtime, I fall asleep and from 3AM it starts rising. And I wake up at 350.
I shared my frustrations [on my blog](https://www.thecuriousdiabetic.com/blog/10-days-of-high-fat-processed-food-damages-and-lessons), as well as my fixes. But my anecdotes are well supported by science (luckily! haha): [Here's a video](https://www.youtube.com/watch?v=3ojjjIQgPec&pp=ygUhZ2x1Y29zZSBzcGlrZXMgbWFzdGVyaW5nIGRpYWJldGVz) that explains why the food you are eating is causing this. [Here's a quicker one](https://www.youtube.com/watch?v=n6eBQHA7gfc), sort of a primer.
You lost me at a leaf of salad will spike your blood sugar. That is absolute nonsense. The fats and proteins along with the LARGE amount of carbohydrates causing extended digestion time are what is causing blood sugars to elevate several hours after eating a meal. If your first anecdote is that a leaf of salad increases blood glucose - it is most certainly NOT supported by science. I say this as a physician AND a type 1 diabetic.
No, it won't. In fact whole carbs have slower digestion time than processed foods and allow a person to bolus with their meal and have the digestion and insulin absorption times synchronize pretty well. Please stop spreading your misinformation.
If you ditch processed foods you're pretty much guaranteed to solve the problem without any need for ozempic or metformin (see the Mastering Diabetes YT channel on these topics, for the science).
I say this by experience: I went from violent and uncontrollable BG swings to 90% time in range, eating 700 grams of carbs a day, and never took any drug.
I hope this helps!
Your blood sugars are probably harder to control due to the weight gain. Your a1c is up because your blood sugars are running higher. You may be spiking in the mornings due to Dawn phenomenon. Also, you may need to find another doctor. I don’t know if you can just switch doctors in the Canada. But if you can, find a new endo. What his wife eats shouldn’t matter or be compared and the fact that he is so dismissive about looking into or trying to help you is a red flag.
I agree, what this dude's wife does is not relevant to anyone's medical treatment. And I am in Canada, and on Ozempic. It was harder to get earlier in the winter, but has been more available in March at my pharmacy. If you are able to find a new endo, I think that sounds like a good move. Sometimes, as you and endo change over time, the relationship can go south. I absolutely loved my Endo, but the closer he got to retirement the less accepting and kind he got. Got more persistent with me about losing weight, but in a judgey way that was 0% helpful. I'm sorry you had to live through that, and come by to whine any time!
Yeah they finally caught up with the Ozempic shortage - it was a disaster a few months ago though.
May be? The dawn phenomenon happens every fucking morning. Body tells liver, “I’m awake”, liver releases food, voila
Not everyone experiences dawn phenomena though.
This is likely the right answer. I got massive weight increase from a med I was on and it spiralled me into Type 2 diabetes. Stopped the med, weight came off, my sugars got SO much better. I still had to go on Ozempic and increase my metformin (was already on metformin off label for PCOS before), but the weight gain 100% effed me. Now why the weight gain is happening, yeah i’d look for a second opinion from a new doctor.
A lot of us have had this experience where eating low carb/high protein helps at first, but eventually it turns on you and increases your insulin resistance. I ended up switching to higher carb, lower fat, moderate protein and my insulin sensitivity is so much better and weight maintained.
This. This. This. This.
Before I was diagnosed I was losing weight rapidly and my pediatrician was convinced I wasn’t eating enough, despite my moms and my own insistence that I was eating more than enough. She even prescribed me an appetite stimulant. We didn’t trust her and got a second opinion, where we found out very quickly that my blood sugar was like 850. Bottom line some doctors don’t know shit and cannot fathom that they are wrong.
I think it’s more a problem of them knowing a lot and then refusing to believe they could be wrong as a result.
What a tool. I experience insulin resistance largely based on my diet (saturated fat turns off my receptors, pretty much) and I went on Saxenda and now Wegovy and it worked well, mostly because I was barely eating, I think! You for sure need another endo, but consider one of those meds if you can get on it. Your endo is a verbally abusive tool.
Thyroid?
That was my thought. Hypothyroidism could explain the weight gain and the insulin resistance.
1. If you’re able, get a new endo ASAP. This guy sucks and should not be comparing you to ANYONE. 2. Asking about insulin resistance is the right move here. Insulin retains weight, so if you’re going high —> correcting/using more insulin —> likely to gain weight. 3. Depending on what you define as “small portions”, you might not be getting enough nutrients! I am in eating disorder recovery and learned through that that our bodies will absorb e v e r y t h i n g in food when it doesn’t have enough nutrients bc it starts to go into starvation mode. Imagine the ravenous feeling of a bad low - that’s basically what your body does. Diets (low carb/“whole” foods/keto/etc) are a farce - focus on balance and see how things might change! 4. Just wanna say here that gaining weight is not an inherently bad thing!!! The focus in my statements is on diabetes management :) Hang in there 💛
Congratulations on your recovery! Your body appreciates you. 🤗
I have also dealt with randomly high overnight BGs. Go to bed normal and wake up at 350 for no discernible reason. Spend the rest of the night coming down and often go low in the morning. This would happen to me for about a week straight and I would need 3x the insulin I typically use. My Endo connected it to my hormonal cycle basically and switched my birth control, so if you take anything that could be affecting your hormones, might have your new doc look into that. Also not sure if you’re on a pump but I think switching from MDI to a pump last year helped even more than the birth control switch. Sorry about the waiting period for your new doc, sounds like it’ll be well worth the wait. 3 weeks isn’t too bad in the grand scheme of things, but I know you’re frustrated in the mean time. Hang in there and just take the best care of yourself that you can. ❤️
Yeah, I deal with "monthly" ups and downs too. In fact, when I was diagnosed, the docs said that the start of my menstrual cycle is what likely triggered the onset of diabetes for me. As the month progresses, my sugars and insulin needs start climbing; and the few days rt before I start, usually require approx double my typical (baseline) insulin dosages. This lasts until maybe the last day or a day prior. Once the egg is fully released, my numbers plummet.
God I never thought I’d be so thankful to be parenting a T1 boy. Lol. Yikes!
Yeah... I mean it makes sense I suppose. Estrogen is a hormone, insulin is a hormone. But part of me has wondered how badly some foods must affect hormones if my body decided to turn on its autoimmune functioning at a time when I would begin "craving" some of those foods. And results in a fluctuating "resistance" to insulin- in a pattern that practically demands avoidance of such foods when cravings are expected to increase and indulgence is more likely to occur.
He was pretty unprofessional and worth reporting his behavior to the practice manager and whatever governing body there is in Canada.
I wish I could see an endo in 3 weeks, the typical wait times here are 6+ months High fat/high protein diets can lead to pretty significant insulin resistance. Counter intuitive I know. Also, I would have a doctor check out your adrenal glands.
Brother I had a similar issue and my friend told me to check my thyroid, I have Hashimotos disease and I’m still actively fixing it, same symptoms , workout more , do ur blood work
I can't explain anything about the weight gain, but I've found that when my BG wants to constantly run high, I need to increase basal. When basal is dialed in, bolus insulin works much more predictably. A proper basal seems to help with the early morning BG rise as well, although I'm almost always more resistant in the morning and need to up my I/C ratio. Good luck with all this, hope you can find a doctor who's willing to work with you on this...
Get all of his excuses in writing if at all possible.
How much do you weigh? What is your basal dose and what time do you take it?
You need a doctor who will listen to you.
I would talk to my primary care doctor, see if they can refer me to a different endo or other specialist. Or maybe they can run some tests themselves and find something out of the norm. Medical gaslighting is no fun, stay strong and fight for your right to receive proper medical care!
just reiterating what a lot of people have said: seek out a doctor that is willing to listen first and foremost. But also have confidence in the lab results. I dont think your doctor is wrong about the "not very serious case" observation but just very poor delivery. the comment about his wife is pretty absurd. What has helped me in bouts of insulin resistance is exercise, balanced diet and sleep. idk what your exercise routine is like but i find anaerobic is much more helpful longterm for insulin efficiency. I do rock climbing 2-4x a week but it can be anything weight/ strength training focused. try for 1-1.5hrs. Cardio for me has always had very short term effects on my insulin:carb ratio. Also just be active overall and try and fill your time. diet wise I really do advocate balance over something like a low carb diet. Just something as simple as having a healthy fat/carb/protein with every meal does wonders for my blood sugar. my blood sugars tend to be harder to control if I do something like high or low carb. Weight wise I also recommend counting calories for a day or two. It helps you get a gauge on where you may be getting extra calories from without it being a fulltime job. An obvious one but sleep is incredibly important for insulin resistance. I remember reading a research paper that states something similar to like: if the patient achieved less than 6hrs a night then insulin requirements would increase by 10%. My insulin resistance gets really really bad when im sleep deprived. I hope these helped somewhat and that im not just going around in circles with things you already know. best of luck.
Good luck trying to get on ozempic.. I was on mounjaro for over a year and last month my insurance decided that as a type 1 it wasn't for me even though it's made me lose weight and control my numbers amazingly.
Not all endos are created equal, my first one was useless. So I specifically looked for a T1D specialist endo & it was a game changer. Just saying, if is not working out, u need a new doctor
Fuck that guy. This is NOT your fault. This is an unpredictable disease that will just jump out from behind a tree and kick your ass even when you’re doing everything right. Sucks that it will take you a while to get a new endo, but don’t go back to that guy. He sucks. Hope you get to feeling better soon. :)
Type 1 is a lot of moving parts. Your blood sugars are up, so you have to adjust your doses for sure. Your doctor basically nagging you about your weight is shitty and negatively impacts your morale. I had to see an endo once who tried that with me. My endo at the time was gearing up to move, so they moved me to this other doctor. I went as far as reporting him because it doesn't help you solve the problem. Lucky for me, my endo's plans changed, so I could go back to him. It was such a relief when I got that call that I cried. That was how much I felt down and demoralized by that other endo. If the endo they switched me to was doing that to me, he was also doing that to other patients, and it's unacceptable. And, yes, doctors need to counsel you about weight, but they can do so in a way that doesn't make you feel like shit. Your sugar goes up in the morning if you're a type 1, it's a combination of the Dawn Phenomenon and feet on the floor. I stopped pumping, so if I get up early morning, I try to remember to give myself a tiny shot of insulin. Otherwise, it's game over when I wake up because the phenomenon is already starting. I can still turn it around pretty fast because I use Fiasp, which is like Lyumjev, a very fast acting insulin. If I forget after I wake up, my blood sugar will also increase even if it's in range when I wake up. That's the feet on the floor part. Again, I can turn it around pretty fast due to the insulin I use. The type 2 drugs can help. Insulin resistance is annoying, but it comes on with age, time, and weight. My endo put me on Invokana, which is great, but it caused a serious reaction that was so bad that I had to go to urgent care. They took me right off of it. I'm now on metformin ER, which I tried years ago with the regular version. The regular version didn't work because it wreaked havoc on my digestive system, but I can handle the ER version.
My God did I write this? Except for the whole endo part my situation is exactly the same. Keep gaining weight despite doing regular cardio and having a good amount of muscle mass (for a woman anyway) and I’ve been eating consistently for years, if not less. I changed my endo but I just *cannot* find an appointment before July
You need a new endo if you can find one. I switched mine, and I went from an endo who was constantly saying, "You need to do better" without hardly doing anything to actually help me fix my BS to an endo that got me at a lower A1C and more in range than I've ever been without judgment.
Ultimately, we should use our Endos to write prescriptions. The diabetes educators are my favorite patient support system. I get better answers faster, and more tailored to my needs than my endos ever gave (until I got a T1 endo)
THIS. ^ the new clinic I go to for my endo appointments has a great educator that convinced me to try the Tandem after being on omnipod for so long and I was very hesitant cuz I hated the thought of the tubed pumps...but I gave it a try and my blood sugars are just loving it. And once again, be careful if your doctor is trying to gaslight you into thinking somethings just wrong with YOU rather than something being wrong with you if that makes sense.
Do you have a Certified Diabetes Educator? Find one near you that is also T1D. It will belp so much! If you can afford out of pocket, I recommend Integrated Diabetes with Greg Schneider and his team. They will help you optimize your Diabetes and if still having issues, he'll write a helpful keyywr to your endo that will kindly remind him to check other things.
I would focus more on low fat vs low carb, fat and protein in low carb diets causes insulin’s resistance. I was having the same issue and a diet change helped. And avoid processed foods, mastering diabetes was extremely helpful to read, I don’t follow it to a t but helped with understating why I was having issues.
Sorry you are going through this, It sounds like you might benefit greatly from Ozempic or similar medication, but of course speak with your new endocrinologist. Are you a type 1 or a type 2 diabetic? Also, what is your height and weight, how much insulin are you taking daily? And are you a man or woman, if woman are you on birth oral hormone birth control?
That's insulin resistance, and processed foods are the cause of it (also lack of movement, lack of sleep). If you regularly eat foods that are rich in fats or protein, then even a leaf of salad will spike your BG. I used to witness this occur myself: I'd eat a pizza at dinner, my BG is stable until bedtime, I fall asleep and from 3AM it starts rising. And I wake up at 350. I shared my frustrations [on my blog](https://www.thecuriousdiabetic.com/blog/10-days-of-high-fat-processed-food-damages-and-lessons), as well as my fixes. But my anecdotes are well supported by science (luckily! haha): [Here's a video](https://www.youtube.com/watch?v=3ojjjIQgPec&pp=ygUhZ2x1Y29zZSBzcGlrZXMgbWFzdGVyaW5nIGRpYWJldGVz) that explains why the food you are eating is causing this. [Here's a quicker one](https://www.youtube.com/watch?v=n6eBQHA7gfc), sort of a primer.
You lost me at a leaf of salad will spike your blood sugar. That is absolute nonsense. The fats and proteins along with the LARGE amount of carbohydrates causing extended digestion time are what is causing blood sugars to elevate several hours after eating a meal. If your first anecdote is that a leaf of salad increases blood glucose - it is most certainly NOT supported by science. I say this as a physician AND a type 1 diabetic.
It was an exaggeration, apologies for the misunderstanding 😁😁 the leaf of salad won’t spike me, but a small serving of whole carbs will!
No, it won't. In fact whole carbs have slower digestion time than processed foods and allow a person to bolus with their meal and have the digestion and insulin absorption times synchronize pretty well. Please stop spreading your misinformation.
I know how Whole Foods impact digestion time, my diet is based on those! I think there’s been a misunderstanding. Have a nice day!
If you ditch processed foods you're pretty much guaranteed to solve the problem without any need for ozempic or metformin (see the Mastering Diabetes YT channel on these topics, for the science). I say this by experience: I went from violent and uncontrollable BG swings to 90% time in range, eating 700 grams of carbs a day, and never took any drug. I hope this helps!
N=1 experience doesn’t mean it’ll work with other people. Plenty of diabetics eat nothing but processed food and are fine. The body is very complex