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Real members of DiabetesTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

Can the new drugs like Ozempic work better in controlling your A1C levels than taking insulin, even if you do not have any weight to lose?

A DiabetesTeam Member asked a question 💭
Saint Cloud, MN

I was offered to try Ozempic instead of starting insulin. The biggest fear I had besides the cost is how the drug affects your desire to eat, thus losing weight. I am only 110 lbs and the most I could lose is 5 lbs and I really don't have problems with being hungry anymore since I also changed to keto diet to manage my sugar levels. Also I heard that these drugs also cause muscle lose and being someone over 70, that could directly impact me more than lowering my A1C.

October 31, 2025
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Can You Reverse Type 2 Diabetes? FAQs on Diet and Lifestyle Changes Read Article...
A DiabetesTeam Member

I take trulicity another type of GLP-1 medicine. It has helped my a1c but I haven't lost weight on it. I was also put on insulin because of mild atrophy of my pancreas. My most recent a1c was 6.1

November 1, 2025
A DiabetesTeam Member

thank you

November 1, 2025
DiabetesTeam

Can Ozempic work better than insulin for controlling A1C levels, especially when you don't need to lose weight?

Ozempic is a GLP-1 receptor agonist that mimics a natural hormone in your body to help manage blood sugar and appetite. It's often prescribed as part of a comprehensive diabetes care plan that includes healthy Show Full Answer

Can Ozempic work better than insulin for controlling A1C levels, especially when you don't need to lose weight?

Ozempic is a GLP-1 receptor agonist that mimics a natural hormone in your body to help manage blood sugar and appetite. It's often prescribed as part of a comprehensive diabetes care plan that includes healthy eating and staying active.

Your concerns about weight loss and muscle loss at 110 lbs and over 70 are very valid, especially since you're already managing well with a keto diet. Both Ozempic and insulin can effectively lower A1C levels, but they work differently in the body.

Since you've already made significant dietary changes and are worried about unintended weight loss, this is definitely something to discuss thoroughly with your doctor. They can help you weigh the benefits of each option against your specific situation—including your current weight, age, muscle mass concerns, and how well your keto diet is working.

Your doctor might be able to adjust dosing or suggest strategies to maintain your weight and muscle mass if you do try Ozempic. They could also explain whether insulin might be a better fit given your circumstances.

October 31, 2025

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