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ForumsMetabolic Health & DiabetesA1C target achievement rates — need advice Page 3

A1C target achievement rates — need advice

laura_annarbor Fri, Jan 30, 2026 at 4:31 AM 20 replies 793 viewsPage 3 of 4
mike_mod
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Jan 30, 2026 at 8:46 AM#11

Moderator note: This thread has been getting great engagement. Please remember to cite sources when making clinical claims.

No issues to report — carry on. 👍

Last edited: Jan 30, 2026 at 10:46 AM
49 12PharmHunterJen, TomTeleRx, DoseLogDan and 46 others
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Dr.PeteFamMed
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Jan 30, 2026 at 9:03 AM#12

As a pharmacist, I want to add some clinical context to this discussion on A1C target achievement rates need.

Building on what laura_annarbor said — the evidence base here is robust. The key publications to reference are from the SUSTAIN program[1].

Key clinical points:

  1. Efficacy is dose-dependent and typically requires 4-5 weeks to reach steady state
  2. Side effect profile is predictable and usually manageable with standard protocols
  3. Monitoring should include baseline labs and follow-up at 3-month intervals
  4. Patient education significantly improves outcomes and adherence

Standard disclaimer: this is educational, not individualized medical advice.

References:
[1] See thread title for relevant study identification.
25 22tommy_boulder, hyun_seoul, jim_asheville and 22 others
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Dr.RenalNash
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Jan 30, 2026 at 9:20 AM#13
mike_mod said:
Please remember to cite sources when making clinical claims

Gonna push back on this one. A1C target achievement rates need is not that straightforward in my experience. I have been on this for 12 months and the reality is messier than the trials suggest.

Don't get me wrong — the medication works. But cost accessibility is a real barrier. We should be honest about that.

25 0Dr.NutriCornell, pam_stl, wei_SG and 22 others
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RickReta_CO
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Jan 30, 2026 at 9:37 AM#14

Want to share my personal experience related to A1C target achievement rates since I think it might help others in a similar situation.

I started my GLP-1 journey in October 2024 at 249 lbs with prediabetes and hypertension. My endocrinologist prescribed semaglutide 0.25mg to start.

Now, 14 months later: I am down 39 lbs, my labs have normalized, and I am off 2 of my 3 medications. The A1C target achieveme aspect specifically was something that made a big difference in my journey.

This community helped me every step of the way.

40 24tommy_boulder, hyun_seoul, jim_asheville and 37 others
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julia.endo
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Jan 30, 2026 at 9:54 AM#15

Saving this for reference. Top-tier content.

46 7chris_chi24, tampaLisa73, KarenAZ_mom and 43 others
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