Sunday, September 21, 2025

GUY’S GOTTA TALK ABOUT…TYPE 2 DIABETES #35: Can I Ditch Ozempic? Probably Not, BUT…


For the first time since I started this blog eleven years ago, it’s going to be about me. I was diagnosed with Type 2 Diabetes two weeks ago. While people are happy to talk about their experiences with diabetes, I WASN’T comfortable with talking about diabetes. My wife is Type 2, as are several friends of ours. The “other Type” of diabetes was what caused the death of my Best Man a year after my wife and I got married. He was diagnosed with diabetes when he was a kid. It was called Juvenile Diabetes then. Today it’s Type 1. Since then, I haven’t WANTED to talk about diabetes at all. But…for my own education and maybe helping someone else, and not one to shut up for any known reason, I’m reopening my blog rather than starting a new one. I MAY take a pause and write about Breast Cancer or Alzheimer’s as medical headlines dictate; but this time I’m going to drag anyone along who wants to join my HIGHLY RELUCTANT journey toward better understanding of my life with Type 2 Diabetes. You’re Welcome to join me!

I asked my doctor a few days ago, “Is Ozempic a forever drug?”

Briefly, he said, “Yes.”

OK – so I’m not a fan of taking ANY drug forever! I’m not excited about taking drugs to lower my cholesterol or my blood pressure, either. So…how did we get here?

A number of factors seem to have come into play:

Physical inactivity is the absolute DRIVER of heart disease, high cholesterol, obesity – and at the risk of sounding crass AND INCLUDING MYSELF – comfortable being fat. Sitting behind a desk – even walking back and forth in front of a classroom doesn’t compare favorably with being hunted by animals or having to hunt for even the simplest foods. We are BUILT to run, chase, and walk. We are NOT built to sit in a desk chair, a car chair, or in front of a TV.

And yet we do, so we get fat, our hearts don’t have to work very hard, and we burn WAY less calories than we eat. So what happens? I have to either take Ozempic, Lipitor, and Lisinopril (or their competitors or a generic drug that does the same thing) or die.

But that’s not exactly true, is it? I COULD opt out of the drug regimen by choosing to eat reasonable amounts of food. For example, is a Big Mac with fries and a shake a REASONABLE amount of food for one meal? No. Not really. MAYBE if I was a farmer and working in the fields all day long! But not for being a classroom science teacher!

But the company does offer a more reasonable meal: a kids meal. Hamburger, fries, and a drink – MOST sensibly, water; but even a diet drink would be sometimes OK.

Because our jobs have us burning fewer calories we -- you AND ME -- experience higher rates of obesity, heart disease, and high cholesterol. “The World Health Organization has declared sedentary lifestyles a leading cause of chronic illnesses globally.”

Stress does a number on us and while I see their point, what could be more stressful in the modern world than bubonic plague, roaming wild animals, danger of invasion by some other tiny country wanting your land or slaves in the 1700s? If “modern life triggers a "fight-or-flight" response that floods the body with stress hormones like cortisol and adrenaline, which can raise blood pressure and blood sugar levels; why weren’t there many fat people in Victorian England or the American Colonial period or among Australian Indigenous people?

The rise of easily accessible, processed, and refined foods has fundamentally changed our eating habits. This diet is typically high in sugar, unhealthy fats, and sodium, and low in whole grains, fruits, and vegetables. This shift is a major contributor to obesity, inflammation, and chronic illnesses.

But let’s be honest – it’s MADE to taste wonderful, easy to access, and for many of us, in UNENDING QUANTITIES. I don’t HAVE to stop eating if I don’t want to! And I have plenty of money, I can buy whatever I want and no one can tell me I can’t…well, at least no one here in middle-to-upper class America.

I can even buy Ozempic to “magically lose weight!” HOWEVER, I DID write about that! (https://breastcancerreaper.blogspot.com/2023/03/diabetes-research-right-now-3-most.html and more recently https://breastcancerreaper.blogspot.com/2025/08/guys-gotta-talk-abouttype-2-diabetes-34.html)

But as a long-term solution? Ouch. If I WERE to stop using Ozempic, I would have to have a very clear plan – and I would have to CHOOSE RIGHT at every turn. Exercise more (I do bike 5-10 miles a week in the summer); I park farther out in the parking lot than I need to); change my diet – or even more importantly DON’T EAT SO MUCH!

My goal is to get off Ozempic. I just have to practice saying “No.”

Sunday, September 7, 2025

DIABETES RESEARCH RIGHT NOW! #32: Will developments in treatments be able to counteract the resulting impact on Type 2 morbidity and mortality?

THIS SHOULD HAVE BEEN THIS MORNING AT 5 AM...BUT I'VE SORTA BEEN BUSY. SORRY!

From the first moment I discovered I had been diagnosed with DIABETES, I joined a HUGE “club” that has been rapidly expanding since it stopped being a death sentence in the early 20th Century. Currently, there are about HALF A BILLION PEOPLE who have Type 2 Diabetes. For the past 3500 years – dating back to Ancient Egypt – people have suffered from diabetes. Well, I’m one of them now… Not one to shut up for any known reason, I added a section to this blog…Every month, I’ll be highlighting Diabetes research that is going on RIGHT NOW! Harvested from different websites, journals and podcasts, I’ll translate them into understandable English and share them with you. Today: The incidence of Type 2 diabetes is increasing for a number of reasons. Will technology be able to keep pace with that increase?

As far as I can tell, there's no new, magic pill coming out that all I have to do is pop it and BOOM! my blood sugars will return to normal and I can live the life I lived when I was 15 and could eat everything in sight and watch TV 24/7 and still weigh 150 pounds...

“Before the availability of insulin in the 1920s, hailed not only as the cure for diabetes but also as one of the greatest advances in the treatment of any disease, a person diagnosed with diabetes would have faced death within a few years.”

That would have been the news for me if I’d been diagnosed with diabetes in 1922 instead of in 2022, I “…would have faced death within a few years.”

Like, now. Instead of writing this column, I’d have been dead. Possibly even LONG dead…

OK – I need to stop jumping up and down in excitement. In the research paper linked below and posted on the NATIONAL LIBRARY OF MEDICINE, “In reality, the impact of diabetes is so significant that it is affecting overall life expectancy: in the United States (US), life expectancy is falling for the first time since statistics were collected, due to obesity…”

Whaaaat??? (My younger grandson would have said). I’m taking my metformin, lisinopril, glipizide, Ozempic, and rosuvastatin. I’ve been part of this trend because I’ve been fat since I was a kiddo; then lost weight when I went to West Africa (returning at 180); and gaining weight until recently and topping out at 260+. With the help of Ozempic and diet changes and MAKING GOOD CHOICES, I’m finally down to 240. Still WAY beyond my ideal weight (according to the Mastermind of the Internet – AI Overview) “For a 5'10" 68-year-old male, the ideal weight is a range that allows for a healthy Body Mass Index (BMI), generally between 132 to 174 pounds”…ouch.

So…I’m not in IMMINENT danger of dropping dead (but who knows?) But, I’m still interested in what might be to come? How about Diabetes Self-Management Education and Support (DSMES) programs???

Apparently, they might be covered by Medicare, Medicaid, and most other insurance plans to help people with diabetes manage their condition, improve their health, and prevent complications. To access these programs, patients need a doctor's referral. Supposedly, this kind of program helps with meal planning, medication management, coping with the condition, and setting realistic goals to achieve better health outcomes. I drew a line through what I don’t really need help with at this time. What I DO need help for is to set realistic goals for.

To find an Accredited Program, our doctors can refer us, or we can use online tools to find accredited DSMES programs near us. How about at my clinic? It would have to be a “hands on”, rather than a lecture. Speaking of which, have you ever noticed that there are NO fancy-pants “Cooking Shows” aimed at people with diabetes? I know, I’ve checked. There are LOTS of shows that help me to cook my way into an early Obesity Grave. I’ll check again…just a second…I guess there ARE a couple! First: IN THE KITCHEN WITH DIABETES CANADA

2024 series: https://www.youtube.com/playlist?list=PLz218ICsOY9obzaVUGsSLdQbRLArc1jTW
The 2025 series is coming soon!
https://www.diabetes.ca/get-involved/local-programs-events/in-the-kitchen-with-diabetes-canada#panel-tab_Weeklythemes

This might be what I’m looking for – a better way to control my blood sugar, blood pressure, and cholesterol levels. A DSMES could conceivably help prevent or delay diabetes-related complications, leading to a better quality of life. By improving health outcomes and reducing complications, DSMES can help lower overall healthcare costs. Increased confidence, gaining knowledge, and skills might help me feel more confident in managing my diabetes effectively.

Follow me here to see where THIS adventure takes me.

Links: https://pmc.ncbi.nlm.nih.gov/articles/PMC3498849/ (see above!)