I am suffering from diabetes for last 12 years and my weight is 112 kgs. I'm taking regular medication of diabetes. I want to start oempic. How do I go ahead with it? My earlier doctor once suggested me. But now I am transferred to Mumbai and before starting I want to consult a doctor.
Hello, thank you for writing in. Managing diabetes for 12 years and still looking for ways to improve your health shows real commitment, and it's a good sign that you want a proper consultation before starting anything new.
At 112 kg with 12 years of diabetes, weight is probably one of the biggest levers for your sugar control, blood pressure and heart health. Even a loss of 5 to 10% of body weight often brings a noticeable improvement. A medicine that helps with weight is a decision for your treating diabetes doctor, not something to start on your own. It depends on your sugar trend, kidney and heart status, and the other medicines you take, and some combinations need adjusting. I can't advise on any specific drug here, but I'd love to look at the bigger picture with you, because the foundation of your plan will be your food, movement and routine, whatever else is added.
Next Steps
Since you've moved to Mumbai, the first step is to see a diabetologist or endocrinologist there and carry your records: recent HbA1c, fasting and post-meal sugar, kidney function, lipid profile, liver tests, your current medicine list, and your previous doctor's note. Please don't start or stop anything on your own. In the meantime, a video consult with me can help you prepare: we can look at your eating pattern, activity and daily routine, and build a realistic plan so you walk into your doctor's appointment already making progress.
Health Tips
- Build each meal around protein and fiber (dal, sprouts, paneer, vegetables, millets), with a smaller portion of rice or roti
- Cut sweet drinks, sweets, bakery items, fried snacks and fruit juices
- Keep meal timings regular, and keep dinner light and early
- Walk 10 minutes after each meal, which helps sugar come down, and aim for 40 minutes of daily activity overall
- Add light strength exercise 2 to 3 times a week, as muscle helps sugar control
- Sleep 7 to 8 hours, since poor sleep raises sugar and appetite
- Note your sugar readings and weight weekly to show your doctor
If you're still worried, do book a consult and we can look at it together. Take care.
Need more information about you so connect me through practo you will get good results !Your weight loss journey will be supported, and along with that, you may also see positive improvements in your sugar levels. I would recommend booking a consultation so we can guide you properly towards the best results.
Hello. This is quite common and usually improves with the right diet and routine, but the best plan depends on your age, health history and lifestyle. I’d be happy to look at your full picture in a one-to-one consultation and give you a personalised diet plan.
Next Steps
Diet consultation
Health Tips
Eat at regular times, chew slowly, sip water through the day, and note which foods seem to trigger any symptoms.
1. Follow a balanced, calorie-controlled diet to support gradual weight loss and blood glucose control.
2. Include protein-rich foods such as dal, pulses, paneer, tofu, eggs, fish, or chicken in meals.
3. Choose whole grains such as whole-wheat roti, jowar, bajra, and oats in controlled portions.
4. Include non-starchy vegetables and salads in daily meals.
5. Prefer whole fruits over fruit juices; consume fruit in moderate portions.
6. Avoid sugary drinks, sweets, biscuits, and excess refined carbohydrates.
7. Limit fried foods, high-fat meals, and processed foods.
8. Eat smaller portions slowly and stop when comfortably full.
9. Maintain regular meal timings and adequate hydration.
10. Avoid skipping meals or following crash diets.
Lifestyle Guidance
1. Start with 10–15 minutes of walking after meals and gradually increase activity as tolerated.
2. Aim for at least 150 minutes of moderate physical activity per week, if medically appropriate.
3. Include strength training 2–3 days per week, if suitable.
4. Maintain 7–9 hours of sleep daily.
5. Monitor blood glucose regularly as advised by the treating doctor.
6. Monitor body weight weekly and aim for gradual, sustainable weight loss.
7. Manage stress through yoga, meditation, or breathing exercises.
Ozempic-Specific Guidance
1. Take Ozempic strictly according to the prescribing doctor’s instructions.
2. Do not change the dose or discontinue the medication without medical advice.
3. Eat smaller meals to help minimize nausea and other gastrointestinal side effects.
4. Avoid heavy, greasy meals if they trigger digestive discomfort.
5. If taking insulin or sulfonylureas alongside Ozempic, monitor for hypoglycemia.
Considering Ozempic may be an option, as it can help with blood sugar control and weight management in suitable patients. However, it is important to consult an endocrinologist or diabetologist before starting it. The doctor will review your current diabetes medications, HbA1c, kidney function, medical history, and other relevant factors to determine whether this medication is appropriate for you.
Health Tips
Do not start Ozempic on your own or discontinue your existing diabetes medications without medical advice. If you take insulin or certain diabetes tablets, the doctor may need to adjust your treatment to reduce the risk of hypoglycaemia. A combined medical and nutritional approach can help you achieve better long term results.
Semaglutide (Ozempic) is commonly used in long-standing type 2 diabetes to help with both blood sugar control and weight loss, and someone in your situation can often suit it. But starting safely means checking your current diabetes medicines, kidney function, and any personal or family history of thyroid tumours or pancreatitis first.
Next Steps
Please see a diabetologist or endocrinologist in Mumbai before starting, carrying your past diabetes reports and your earlier doctor's notes, so they can set the right dose and adjust your other medicines alongside it.
Health Tips
Don't start it on your own just on an old recommendation, since your current dose and monitoring need to be set by the doctor seeing you now.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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