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Semaglutide: A Breakthrough Medication for Diabetes and Weight Management

Written by Liquivida® | Apr 9, 2024 2:30:00 PM

In the ongoing battle against diabetes and obesity, medical science continues to advance with remarkable breakthroughs. One such innovation is Semaglutide, a medication that has made significant strides in the management of type 2 diabetes and chronic weight issues. 

 

Understanding Semaglutide 

Semaglutide is a Glucagon-like peptide-1 (GLP-1) produced by the gut. It increases insulin production, a hormone that lowers blood sugar levels while inhibiting glucagon secretion, a hormone that raises blood sugar. Additionally, it reduces appetite and energy intake and delays gastric emptying.

Semaglutide was first developed in 2012 as a longer-acting alternative to Liraglutide. In 2017, this drug gained approval as an anti-diabetic medication used to treat type 2 diabetes and obesity. Then, in June 2021, it received approval for chronic weight management in individuals who are obese (with a BMI ≥ 30 kg/m2) or overweight (with an initial BMI ≥ 27 kg/m2) with at least one weight-related comorbidity.

How Does Semaglutide Work?

Semaglutide operates by closely mimicking the actions of a natural hormone called glucagon-like peptide-1 (GLP-1) within the body. GLP-1 is normally secreted in response to food intake and plays a vital role in regulating blood sugar levels and controlling appetite. Semaglutide's primary mechanism of action involves enhancing the functioning of GLP-1 in several ways.

First, it stimulates the pancreas to release insulin in response to elevated blood sugar levels. This insulin release helps facilitate glucose uptake by cells, thereby reducing blood sugar levels. Additionally, Semaglutide curtails the production of glucagon, another pancreatic hormone that tends to raise blood sugar levels. By decreasing glucagon production and promoting insulin release, Semaglutide assists in maintaining optimal blood sugar control.

Furthermore, Semaglutide can slow down the emptying of the stomach, which moderates the release of glucose into the bloodstream, preventing rapid spikes in blood sugar levels after meals. This delayed gastric emptying contributes to more stable and controlled blood sugar levels. Beyond its role in blood sugar regulation, Semaglutide influences appetite, making individuals feel fuller for longer periods. This appetite-suppressing effect can lead to reduced food intake, aiding in weight management. 

Semaglutide's Dual Action for Health Benefits

First and foremost, Semaglutide is designed to address blood sugar control. It has gained approval in select regions as a treatment for chronic weight management among adults grappling with obesity. It achieves this by reducing appetite and promoting the sensation of fullness, aiding individuals in their efforts to control their food intake and, consequently, lose weight.

In addition to its roles in blood sugar and weight management, some GLP-1 receptor agonists, including Semaglutide, have displayed cardiovascular benefits in clinical trials. This translates into a reduced risk of heart-related complications, which is particularly significant since cardiovascular disease is a common complication of diabetes.

Another advantage of Semaglutide is its potential to reduce the dependence on insulin or other diabetes medications in individuals with type 2 diabetes. This can lead to improved blood sugar management and a decreased likelihood of experiencing episodes of hypoglycemia, characterized by low blood sugar levels.
Furthermore, Semaglutide contributes to lowering HbA1c levels, a crucial marker of average blood sugar control over several months. The reduction of HbA1c levels is a fundamental objective in diabetes management, as it helps mitigate the risk of complications associated with the condition.
 

 

Suitable Candidates for Semaglutide?

Semaglutide is primarily used to treat individuals with type 2 diabetes. It can be considered for those who have not achieved adequate blood sugar control with lifestyle modifications such as diet and exercise or with other diabetes medications like metformin. It is also an option for people who prefer an injectable medication or have difficulty taking oral medications. Candidates for Semaglutide often have HbA1c levels (a measure of average blood sugar control over several months) above the target range, indicating insufficient blood sugar management despite previous interventions.

In some regions, Semaglutide has received approval for the treatment of obesity in adults with a body mass index (BMI) of 30 or greater or in those with a BMI of 27 or greater if they have at least one weight-related comorbidity, such as type 2 diabetes.  Individuals with type 2 diabetes who also have cardiovascular risk factors, such as a history of heart disease or stroke, may benefit from Semaglutide. Some GLP-1 receptor agonists, including Semaglutide, have shown cardiovascular benefits in clinical trials.

Some individuals may prefer injectable medications over oral options or may have difficulty swallowing pills. Semaglutide is administered as a subcutaneous injection, typically once a week, which can be convenient for those who prefer this mode of administration. Beyond diabetes management, Semaglutide's potential for weight loss can make it an attractive option for individuals who are overweight or obese and are motivated to shed excess pounds.

Suggested Protocol

In practical terms, Semaglutide is administered through a subcutaneous injection every week. Its extended-release formulation does not require daily dosing, making it a more convenient option for many individuals.

Here is a suggested dosing protocol:

  • Weeks 1-2: Inject 10 units once a week.
  • Weeks 3-5: Inject 20 units once a week.
  • Weeks 6-8: Inject 30 units once a week.
  • Weeks 9-12: Inject 40 units once a week.

 

This dosing schedule is intended to provide gradual adjustments and optimal management while taking Semaglutide.

However, individuals must follow healthcare providers' recommendations and closely monitor their response to the medication for personalized guidance. Contact Liquivida today to learn more about peptide therapy and how Semaglutide could benefit you.