Keto Air Fryer Pork Belly Bites

This content originally appeared on Low Carb Yum. Republished with permission.

Interested in a tasty low-carb appetizer that will fulfill your protein needs too? Check out my air fryer pork belly bites – they’re perfectly seasoned and ready in 30 minutes or less.

Why You’ll Love It

Pork belly is a keto dieter’s best friend – at least when it comes to protein sources.

I’ve prepared this fatty cut into crispy, seasoned pork belly bites that make an excellent appetizer or main dish.

They’re baked in the air fryer for quick preparation and minimal cleanup.

Plus, this pork belly air fryer recipe is super versatile, with several serving options, creative variations, and drool-worthy pairings!

Print

Keto Air Fryer Pork Belly Bites

Course Appetizer, Main Course, Snack
Cuisine American
Prep Time 10 minutes
Cook Time 20 minutes
Total Time 30 minutes
Servings 4 servings
Calories 659kcal

Ingredients

1 lb. Pork belly, cut into pieces2 Tbsp. Olive oil1 tsp. Garlic powder½ tsp. Paprika2 Tbsp. Swerve brown sugar substituteSalt and pepper to taste

Instructions

Place the pork belly pieces into a mixing bowl.
Drizzle with the olive oil.
Add the Swerve, paprika, garlic powder and salt and pepper to taste to the mixing bowl, and toss to coat and combine well.
Preheat the air fryer to 400 degrees.
Place the bites onto a basket or baking pan, and cook for 20 minutes or until crispy, turning halfway through.
Serve and enjoy!

Nutrition

Serving: 1portion | Sodium: 47mg | Calcium: 8mg | Vitamin C: 0.4mg | Vitamin A: 315IU | Sugar: 0.1g | Fiber: 0.3g | Potassium: 239mg | Cholesterol: 82mg | Calories: 659kcal | Monounsaturated Fat: 33g | Polyunsaturated Fat: 7g | Saturated Fat: 23g | Fat: 68g | Protein: 11g | Carbohydrates: 9g | Iron: 1mg


Please note that the nutritional information may vary depending
on the specific brands of products used. We encourage everyone to check specific
product labels in calculating the exact nutritional information.

 

READ MORE

Emily Shares How She Lost 50 Pounds with Type 1 Diabetes

I met Emily Phillips in a Facebook group for moms living with type 1 diabetes. I learned that she not only lived in my small town but also that we share a lot more in common than type 1 diabetes. It was a pleasure to interview my friend and learn about her inspiring weight loss journey and diabetes care transformation. [This interview was conducted in 2019]

Was weight always a concern for you, or something that you have had to deal with only later in life?

I was diagnosed with type 1 diabetes at age 17 and had always been a thin person. I stayed pretty thin in college. At 27, I had my first kid. About a year and a half before I conceived my first child, I started putting on weight. I don’t know exactly why; maybe my metabolism was slowing down. After pregnancy, I was breastfeeding for a long time and thought it would contribute to weight loss. I am now 34 and have had ups and downs in weight.

What strategies did you try to lose weight during these seven years?

I dabbled in Weight Watchers after having my first child. This was back in 2014. Because I was breastfeeding, they allowed me many more points than most. I was over 200 pounds at the time, and I feel it was more food than I needed. This only lasted about a month before I realized it wasn’t going to work. With type 1 diabetes, it didn’t make any sense. They wanted me to have, like, juice and stuff, which was not part of my normal life anyway.

After my second child was born (in 2015), I hired a personal trainer. I worked out with her for about 2.5 months, but had no significant weight loss, because my diet was garbage. That was short-lived.

I’ve just always been unsuccessful. Because of type 1 diabetes, I didn’t feel like [typical] diet plans matched my condition.

What made you try a low-carbohydrate diet approach?

I was pretty desperate. In 2017, I got down to about 190 lbs (I was as high as 230 lbs shortly after having my kids), and I had a tummy tuck due to diastasis recti from my pregnancies. I felt pretty good about myself (at that point) but then the weight just kept on adding back on.

Emily with her children (October 2017)

I went out with some girlfriends and one of them told me about the keto diet. I was laughing at her and thought I could never do this because “I have to have carbohydrates, they’re essential.” I don’t know how she didn’t roll on the ground laughing, but she said: “Actually, they’re not essential and it’s perfectly safe.”

I went home and I googled the ketogenic diet for type 1 diabetes and I found a book called “The Ketogenic Diet for Type 1 Diabetes,” and I also found Dr. Bernstein’s book. So, I ordered and read the book about the ketogenic diet a week before I went low-carb. I remember thinking “This might be legit! I think I’m going to do this!”

On my diaversary (in October 2017), I decided to start low-carb.

How much weight have you lost using this approach?

I have now lost about 50 lbs since starting a low-carb diet.

Do you think that having type 1 diabetes made it more difficult to lose weight?

Yes. I have been trained since I was 17 (in Boston at the Joslin Clinic) that I should eat 30-60g of carbohydrates per meal and a 15-20g carb snack between meals. I’ve been told that this is my life, this is my dosing and this is what I should do. So, I better be a good carb counter!

No medical professional had ever told me anything different. I have been told to “watch my calories and move more,” but no one suggested that a low-carb diet could work for weight loss with type 1 diabetes or that it could make diabetes management easier.

Emily (March 2019)

Did you do anything besides changing your diet (like additional exercise) to lose weight?

No. Nothing.

Recently, you decided to cut out dairy products. How has it affected your weight loss?

I was at a stall [with my weight loss]. I was stuck around -38 to 40 lbs. I heard that cutting out dairy could help. I ordered a book by Maria Emmerich and [I don’t follow it strictly but] I use her recipes. I can make everything dairy-free with a stocked pantry.

I’ve lost about another 10 lbs since I went dairy-free 3 weeks ago. I’m not sure if it’s the dairy itself or just that it translated to fewer calories. My insulin requirements have also gone down (this could be due to the weight loss).

Peel-and-eat shrimp and cauliflower rice with broccoli

Quick dairy-free dinner: half a rotisserie chicken and roasted and seasoned cauliflower and Brussels sprouts

You also reaped other health benefits from following a low-carb approach. Can you talk about that?

I am saving so much money! I have a high-deductible plan, so the less insulin I use, the more money I save. I am using 70% less insulin. I am not having roller-coaster blood sugars. I am now going 6-9 months between my doctor appointments because I am so well-controlled, which also saves a lot of money.

My “highs” now are what I used to consider “normal”. My A1c is currently 5.5 percent (and the previous one was 5.4 percent). My A1cs before were around 7.4-7.6 percent. The whole idea of having normal blood sugars was astonishing to me. The first few weeks, I was like “What is this life? How could I have eaten all this food and I’m like 90 mg/dL?”

Emily’s blood glucose trends before and after committing to a low-carbohydrate diet.

What advice would you give to someone with type 1 diabetes who is struggling to lose weight?

Commit fully to low-carb. Easing into it or cheating [makes it harder]. Linking food to life satisfaction isn’t a thing for me anymore. I have so much in it that I just can’t cheat (although I am not tougher than anyone else)! It’s just not worth it to be high and to be chasing it.

Thank you, Emily, for taking the time to share your story with Diabetes Daily! You are an inspiration and we wish you continued success in all your endeavors!

 

READ MORE

Emily Shares How She Lost 50 Pounds with Type 1 Diabetes

I met Emily Phillips in a Facebook group for moms living with type 1 diabetes. I learned that she not only lived in my small town but also that we share a lot more in common than type 1 diabetes. It was a pleasure to interview my friend and learn about her inspiring weight loss journey and diabetes care transformation. [This interview was conducted in 2019]

Was weight always a concern for you, or something that you have had to deal with only later in life?

I was diagnosed with type 1 diabetes at age 17 and had always been a thin person. I stayed pretty thin in college. At 27, I had my first kid. About a year and a half before I conceived my first child, I started putting on weight. I don’t know exactly why; maybe my metabolism was slowing down. After pregnancy, I was breastfeeding for a long time and thought it would contribute to weight loss. I am now 34 and have had ups and downs in weight.

What strategies did you try to lose weight during these seven years?

I dabbled in Weight Watchers after having my first child. This was back in 2014. Because I was breastfeeding, they allowed me many more points than most. I was over 200 pounds at the time, and I feel it was more food than I needed. This only lasted about a month before I realized it wasn’t going to work. With type 1 diabetes, it didn’t make any sense. They wanted me to have, like, juice and stuff, which was not part of my normal life anyway.

After my second child was born (in 2015), I hired a personal trainer. I worked out with her for about 2.5 months, but had no significant weight loss, because my diet was garbage. That was short-lived.

I’ve just always been unsuccessful. Because of type 1 diabetes, I didn’t feel like [typical] diet plans matched my condition.

What made you try a low-carbohydrate diet approach?

I was pretty desperate. In 2017, I got down to about 190 lbs (I was as high as 230 lbs shortly after having my kids), and I had a tummy tuck due to diastasis recti from my pregnancies. I felt pretty good about myself (at that point) but then the weight just kept on adding back on.

Emily with her children (October 2017)

I went out with some girlfriends and one of them told me about the keto diet. I was laughing at her and thought I could never do this because “I have to have carbohydrates, they’re essential.” I don’t know how she didn’t roll on the ground laughing, but she said: “Actually, they’re not essential and it’s perfectly safe.”

I went home and I googled the ketogenic diet for type 1 diabetes and I found a book called “The Ketogenic Diet for Type 1 Diabetes,” and I also found Dr. Bernstein’s book. So, I ordered and read the book about the ketogenic diet a week before I went low-carb. I remember thinking “This might be legit! I think I’m going to do this!”

On my diaversary (in October 2017), I decided to start low-carb.

How much weight have you lost using this approach?

I have now lost about 50 lbs since starting a low-carb diet.

Do you think that having type 1 diabetes made it more difficult to lose weight?

Yes. I have been trained since I was 17 (in Boston at the Joslin Clinic) that I should eat 30-60g of carbohydrates per meal and a 15-20g carb snack between meals. I’ve been told that this is my life, this is my dosing and this is what I should do. So, I better be a good carb counter!

No medical professional had ever told me anything different. I have been told to “watch my calories and move more,” but no one suggested that a low-carb diet could work for weight loss with type 1 diabetes or that it could make diabetes management easier.

Emily (March 2019)

Did you do anything besides changing your diet (like additional exercise) to lose weight?

No. Nothing.

Recently, you decided to cut out dairy products. How has it affected your weight loss?

I was at a stall [with my weight loss]. I was stuck around -38 to 40 lbs. I heard that cutting out dairy could help. I ordered a book by Maria Emmerich and [I don’t follow it strictly but] I use her recipes. I can make everything dairy-free with a stocked pantry.

I’ve lost about another 10 lbs since I went dairy-free 3 weeks ago. I’m not sure if it’s the dairy itself or just that it translated to fewer calories. My insulin requirements have also gone down (this could be due to the weight loss).

Peel-and-eat shrimp and cauliflower rice with broccoli

Quick dairy-free dinner: half a rotisserie chicken and roasted and seasoned cauliflower and Brussels sprouts

You also reaped other health benefits from following a low-carb approach. Can you talk about that?

I am saving so much money! I have a high-deductible plan, so the less insulin I use, the more money I save. I am using 70% less insulin. I am not having roller-coaster blood sugars. I am now going 6-9 months between my doctor appointments because I am so well-controlled, which also saves a lot of money.

My “highs” now are what I used to consider “normal”. My A1c is currently 5.5 percent (and the previous one was 5.4 percent). My A1cs before were around 7.4-7.6 percent. The whole idea of having normal blood sugars was astonishing to me. The first few weeks, I was like “What is this life? How could I have eaten all this food and I’m like 90 mg/dL?”

Emily’s blood glucose trends before and after committing to a low-carbohydrate diet.

What advice would you give to someone with type 1 diabetes who is struggling to lose weight?

Commit fully to low-carb. Easing into it or cheating [makes it harder]. Linking food to life satisfaction isn’t a thing for me anymore. I have so much in it that I just can’t cheat (although I am not tougher than anyone else)! It’s just not worth it to be high and to be chasing it.

Thank you, Emily, for taking the time to share your story with Diabetes Daily! You are an inspiration and we wish you continued success in all your endeavors!

 

READ MORE

The Diabetes Advice That Made a Difference

In our opinion, the best diabetes advice doesn’t come from doctors and medical authorities — it comes from the people actually living with the condition. We always put a ton of weight on the experience and wisdom of the diabetes community. The Diabetes Daily forum is an outstanding place to meet and chat with practical experts. No matter what you’re going through, someone’s been there before and is ready to help.

On the Diabetes Daily Facebook page, we asked our readers the following question:

What is one piece of advice that you’ve received that changed how you view your diabetes?

Here were the most popular answers:

“Don’t deny yourself. Moderation is the key.”

“Attitude: If you want a piece of pie, have a piece of pie. Just don’t eat the whole pie and don’t do it every day.”

There’s a theory out there that we are all naturally either abstainers or moderators. Moderators thrive when they allow themselves small amounts of vices — whether that’s pie, pizza, ice cream, alcohol, or anything else that we humans tend to get carried away with.

Plenty of people with diabetes find success with moderation. Do you find the thought of denying yourself sugar, starches, or other less-healthy treats just too horrible to consider? Can you satisfy that sweet tooth with just a few bites? You might be a moderator.

By contrast, our community also has some abstainers, who are all-or-nothing. They find it much easier to go 100 percent without something than 99 percent. You’re the only person who knows which approach will work best for you.

“Don’t listen to what other people are saying about you. You can still do whatever you want to do.”

What works for others may not work for you.”

“Not everybody’s diabetes is the same, take care of yourself.”

Several voices emphasized how important it is to be confident in your self-management. Find what works for you and stick with it.

If you spend much time in the diabetes online community, you know that it can get easy to feel discouraged. Facebook and Instagram are full of people with diabetes showing off their great blood sugars, healthy lunches, and gym sessions, and it’s natural to feel jealous. Some of these personalities and influencers might think they’ve got it all figured out — but their solutions might not work for you.

We can use the success of others as inspiration if we want to, but sometimes it might be wiser to just tune out other people and focus on your problems.

It’s about participation, not perfection.”

“Blood sugar numbers are not good or bad, it’s a number to help you decide how to treat.”

It’s not what you achieve, it’s what you overcome.”

Sometimes focusing on “optimal” treatment can be overwhelming. Diabetes management perfection isn’t easy to pull off. And few of us have the time or money to live optimally at all times.

If you set unrealistic expectations and fail to meet them, it can easily spiral into diabetes distress and burnout. Many of our readers try to take a more mindful approach, committing to the process instead of the results, and celebrating little victories along the way.

“Get the best doctor you can find.”

We’ve got all the sympathy in the world for the doctors and clinicians that treat diabetes, but the fact is that some are better than others. Diabetes doctors are badly overworked and too many patients are not getting the best treatments available because they’re mired in “therapeutic inertia.”

Many members of the Diabetes Daily community have had to go “shopping” for the right clinician — at least to the extent that their health insurance has allowed them to. And maybe your ideal healthcare provider isn’t a doctor or an endocrinologist, maybe it’s a nurse practitioner. Maybe what you really need is a certified diabetes educator or diabetes coach to help you with your daily management.

Having an expert that really understands your concerns and makes the right suggestions can make a huge difference.

“Find a doctor who promotes self-management.”

We here at Diabetes Daily are big advocates of self-management, and we hope that readers can feel empowered to adjust their own diabetes management style. The best way to thrive with diabetes is to make yourself the world expert on your own condition.

Not everyone feels comfortable self-managing. Some readers, for example, prefer to follow doctor’s orders to the letter between visits. Others take the opposite approach and try to manage their own conditions to the greatest extent possible. These are the patients that don’t wait for a doctor to tell them to adjust their basal insulin level, and the ones that ask targeted questions about advanced diabetes medications and technologies.

If you’re ready to take charge of your diabetes management, the best possible way to do it is to find a doctor who can help you on your journey.

“Get a CGM!”

The Diabetes Daily community is unanimous: Everyone with diabetes should have a continuous glucose monitor (CGM). The CGM is a quantum leap beyond fingersticks and offers the best possible way to understand your condition. The technology is extraordinarily useful for people with both type 1 and type 2 diabetes, offering not just alarms for low and high blood sugars, but an unmatched opportunity to learn how your lifestyle decisions affect your glycemic level.

Zen Chung/Pexels

“Eat healthy, and no artificial stuff. Best advice ever.”

“Watch your carbs and walk when you can.”

It would be tough to pack more diabetes wisdom into two short sentences:

Get up off the couch: Even low-impact exercise like walking can have huge metabolic benefits.
Avoid artificial foods. If there’s exactly one piece of dieting advice that everyone in the diabetes world agrees on, it’s that whole and minimally processed foods are healthier than ultraprocessed packaged foods, which also tend to pack in a ton of sugar, starch, fat, and sodium.
Keep aware of your carbohydrate intake ­— or, as another reader put it, “Watch them carbs.” No food spikes your glucose levels more quickly, and no eating pattern beats the low-carb diet for glycemic control. And if you use insulin for your meals, you should be critically aware of every carbohydrate that you put in your belly.

“This is a serious disease; it can cause a lot of problems for you if you don’t eat right and exercise. It can kill you.”

“You have this disease for life. You can let it control you or you can control it. So, you can grow up and look after yourself and your diabetes, or you can get complications and die.”

Fear can be a powerful motivator too.

Many people in our community don’t like to dwell on the scary long-term effects of diabetes, and most professional writing on diabetes tends to accentuate the positive.

But these uncompromising comments got a lot of “likes” for a reason. There’s no denying that diabetes is a serious illness with potentially serious consequences. Some people with diabetes find motivation by keeping the misery of diabetes complications at the front of their minds. And some prefer to imagine diabetes management as an opportunity for mastery or domination, a battle that we will either win or lose.

Should you approach diabetes like a warrior? It’s up to you.

Go out and live your life like a normal person … don’t miss out on adventures because you have diabetes.

Diabetes stinks, but it’s manageable. People with diabetes can accomplish extraordinary things. If there’s one tip we all agreed on, it’s that you should do everything you can to live a happy, vibrant life.

 

READ MORE

The Diabetes Advice That Made a Difference

In our opinion, the best diabetes advice doesn’t come from doctors and medical authorities — it comes from the people actually living with the condition. We always put a ton of weight on the experience and wisdom of the diabetes community. The Diabetes Daily forum is an outstanding place to meet and chat with practical experts. No matter what you’re going through, someone’s been there before and is ready to help.

On the Diabetes Daily Facebook page, we asked our readers the following question:

What is one piece of advice that you’ve received that changed how you view your diabetes?

Here were the most popular answers:

“Don’t deny yourself. Moderation is the key.”

“Attitude: If you want a piece of pie, have a piece of pie. Just don’t eat the whole pie and don’t do it every day.”

There’s a theory out there that we are all naturally either abstainers or moderators. Moderators thrive when they allow themselves small amounts of vices — whether that’s pie, pizza, ice cream, alcohol, or anything else that we humans tend to get carried away with.

Plenty of people with diabetes find success with moderation. Do you find the thought of denying yourself sugar, starches, or other less-healthy treats just too horrible to consider? Can you satisfy that sweet tooth with just a few bites? You might be a moderator.

By contrast, our community also has some abstainers, who are all-or-nothing. They find it much easier to go 100 percent without something than 99 percent. You’re the only person who knows which approach will work best for you.

“Don’t listen to what other people are saying about you. You can still do whatever you want to do.”

What works for others may not work for you.”

“Not everybody’s diabetes is the same, take care of yourself.”

Several voices emphasized how important it is to be confident in your self-management. Find what works for you and stick with it.

If you spend much time in the diabetes online community, you know that it can get easy to feel discouraged. Facebook and Instagram are full of people with diabetes showing off their great blood sugars, healthy lunches, and gym sessions, and it’s natural to feel jealous. Some of these personalities and influencers might think they’ve got it all figured out — but their solutions might not work for you.

We can use the success of others as inspiration if we want to, but sometimes it might be wiser to just tune out other people and focus on your problems.

It’s about participation, not perfection.”

“Blood sugar numbers are not good or bad, it’s a number to help you decide how to treat.”

It’s not what you achieve, it’s what you overcome.”

Sometimes focusing on “optimal” treatment can be overwhelming. Diabetes management perfection isn’t easy to pull off. And few of us have the time or money to live optimally at all times.

If you set unrealistic expectations and fail to meet them, it can easily spiral into diabetes distress and burnout. Many of our readers try to take a more mindful approach, committing to the process instead of the results, and celebrating little victories along the way.

“Get the best doctor you can find.”

We’ve got all the sympathy in the world for the doctors and clinicians that treat diabetes, but the fact is that some are better than others. Diabetes doctors are badly overworked and too many patients are not getting the best treatments available because they’re mired in “therapeutic inertia.”

Many members of the Diabetes Daily community have had to go “shopping” for the right clinician — at least to the extent that their health insurance has allowed them to. And maybe your ideal healthcare provider isn’t a doctor or an endocrinologist, maybe it’s a nurse practitioner. Maybe what you really need is a certified diabetes educator or diabetes coach to help you with your daily management.

Having an expert that really understands your concerns and makes the right suggestions can make a huge difference.

“Find a doctor who promotes self-management.”

We here at Diabetes Daily are big advocates of self-management, and we hope that readers can feel empowered to adjust their own diabetes management style. The best way to thrive with diabetes is to make yourself the world expert on your own condition.

Not everyone feels comfortable self-managing. Some readers, for example, prefer to follow doctor’s orders to the letter between visits. Others take the opposite approach and try to manage their own conditions to the greatest extent possible. These are the patients that don’t wait for a doctor to tell them to adjust their basal insulin level, and the ones that ask targeted questions about advanced diabetes medications and technologies.

If you’re ready to take charge of your diabetes management, the best possible way to do it is to find a doctor who can help you on your journey.

“Get a CGM!”

The Diabetes Daily community is unanimous: Everyone with diabetes should have a continuous glucose monitor (CGM). The CGM is a quantum leap beyond fingersticks and offers the best possible way to understand your condition. The technology is extraordinarily useful for people with both type 1 and type 2 diabetes, offering not just alarms for low and high blood sugars, but an unmatched opportunity to learn how your lifestyle decisions affect your glycemic level.

Zen Chung/Pexels

“Eat healthy, and no artificial stuff. Best advice ever.”

“Watch your carbs and walk when you can.”

It would be tough to pack more diabetes wisdom into two short sentences:

Get up off the couch: Even low-impact exercise like walking can have huge metabolic benefits.
Avoid artificial foods. If there’s exactly one piece of dieting advice that everyone in the diabetes world agrees on, it’s that whole and minimally processed foods are healthier than ultraprocessed packaged foods, which also tend to pack in a ton of sugar, starch, fat, and sodium.
Keep aware of your carbohydrate intake ­— or, as another reader put it, “Watch them carbs.” No food spikes your glucose levels more quickly, and no eating pattern beats the low-carb diet for glycemic control. And if you use insulin for your meals, you should be critically aware of every carbohydrate that you put in your belly.

“This is a serious disease; it can cause a lot of problems for you if you don’t eat right and exercise. It can kill you.”

“You have this disease for life. You can let it control you or you can control it. So, you can grow up and look after yourself and your diabetes, or you can get complications and die.”

Fear can be a powerful motivator too.

Many people in our community don’t like to dwell on the scary long-term effects of diabetes, and most professional writing on diabetes tends to accentuate the positive.

But these uncompromising comments got a lot of “likes” for a reason. There’s no denying that diabetes is a serious illness with potentially serious consequences. Some people with diabetes find motivation by keeping the misery of diabetes complications at the front of their minds. And some prefer to imagine diabetes management as an opportunity for mastery or domination, a battle that we will either win or lose.

Should you approach diabetes like a warrior? It’s up to you.

Go out and live your life like a normal person … don’t miss out on adventures because you have diabetes.

Diabetes stinks, but it’s manageable. People with diabetes can accomplish extraordinary things. If there’s one tip we all agreed on, it’s that you should do everything you can to live a happy, vibrant life.

 

READ MORE

How People With Diabetes Are Getting By During the Ozempic Shortage

This content originally appeared on diaTribe. Republished with permission.

By Christine Fallabel

The world’s hottest new miracle drug for type 2 diabetes, Ozempic (semaglutide), has surged in popularity among people with and without diabetes looking to lose weight, including celebrities and influencers, causing a global shortage. So, what are people with diabetes supposed to do?

The world’s hottest new miracle drug, Ozempic (semaglutide, a GLP-1 agonist), has surged in popularity among people with type 2 diabetes, as well as with people with and without diabetes, including celebrities and influencers, looking to lose weight.

However, this diabetes medication, an injectable drug developed by Novo Nordisk that was approved for use by the Food and Drug Administration (FDA) in 2017, is now increasingly challenging to find for people with diabetes, who need it to help manage their blood sugar.

So, what are people with diabetes supposed to do? We talked with patients and providers to see how they are dealing with the shortage.

What can people with diabetes do during the shortage?

People with diabetes have reported rationing their Ozempic doses to deal with the global shortage. For instance, if they usually take 2 mg per week, they’ve reduced their dose to notched that down to 1 mg per week, and if they were taking 1 mg per week, they’ve rationed their dose down to 0.5 mg. While this isn’t ideal, it can still deliver some benefits of the medication and make it last longer until their prescription can be refilled.

“The shortage of Ozempic has been frustrating for our patients and for us health care providers,” said Nicole Schneider, a diabetes nurse practitioner in Madison, Wisconsin. “Some patients have been on Ozempic for many years, and it’s proven to work extremely well for them. It is upsetting that many patients who don’t even have diabetes are getting Ozempic prescriptions for weight loss.”

In response to the shortage, providers have been prescribing other GLP-1 agonists to their patients, such as the following:

Dulaglutide (Trulicity), injected weekly
Tirzepatide (Mounjaro), injected once weekly
Liraglutide (Victoza, Saxenda), injected daily
Exenatide (Byetta), injected twice daily
Semaglutide (Rybelsus), taken orally once daily
Lixisenatide (Adlyxin), injected daily

Always check your health insurance to see if alternatives would be covered, as coverage can depend on the brand and how your health insurance company covers different products. If you do switch to a different medication, be aware that some are taken weekly, daily, and some twice daily.

To help with blood sugar management, Schneider said many patients with type 2 diabetes have opted to start insulin treatment, which, she said, “may contribute to weight gain and poor glycemic control, which could lead to microvascular and macrovascular complications.”

Kirsten Nowak, of Cleveland, Ohio, has had type 2 diabetes for 10 years and uses a combination of Ozempic, diet, and exercise to manage her blood insulin resistance. She says that she’s increased her daily amount of exercise and has tried to cut carbohydrates because she has not been able to fill her prescription recently.

“Even though I am exercising more and eating very low carb, my blood sugars are spiking, and I am anxious to fill my Ozempic,” she said. “No one knows when this shortage will end. I’ve started taking basal insulin again, and that seems to be helping a little bit with my high blood sugars.”

Increasing your amount of physical activity and changing your diet may help improve insulin sensitivity and glucose levels for those unable to fill their Ozempic prescription. Always talk with your doctor, and if you’re unsure of where to begin, ask to see a registered dietitian for meal planning ideas.

How does Ozempic work?

Ozempic increases insulin sensitivity while inhibiting the liver from releasing glucagon to help lower blood sugar levels. It also suppresses appetite and slows digestion, causing many people to lose weight.

Due to its long duration of action, it is only taken once per week, which makes it convenient.

Although not approved for type 1 diabetes, doctors may prescribe Ozempic and other GLP-1 agonists “off-label” for type 1 diabetes. This may help them better manage blood sugar levels and help to reduce insulin resistance.

Does Ozempic really cause weight loss?

It’s important to note that Ozempic (semaglutide) is specifically approved by the FDA for diabetes and not weight loss. The same medication under a different name, Wegovy (semaglutide), is approved for weight loss and maintenance; however, it is difficult to get Wegovy covered by insurance. Taking Ozempic in higher doses has the same weight loss effects as Wegovy, and often comes with much-needed insurance coverage.

Studies prove Ozempic causes weight loss. One such study showed that participants in a trial lost between 10-15% of their body weight over a little more than a year with weekly Ozempic injections when used in combination with healthy eating and exercise. In the placebo group, only 2% of people lost weight, but in the Ozempic group, about 75% of people lost 5% or more of their body weight.

Another study showed similar results, with participants on semaglutide losing an average of 16.7% of their total body weight versus 0.6% with a placebo. The semaglutide group were also much more likely to lose at least 5% of their body weight, with 84% of semaglutide study participants losing at least that much weight.

Finally, a study called SURE Denmark/Sweden showed significant weight loss among patients using semaglutide, with improved blood sugar and A1C levels as well.

All of this weight loss has caught the public’s attention in a nation that is struggling more than ever with the obesity epidemic. According to the Centers for Disease Control and Prevention, more than a third of Americans have obesity, and another third are overweight.

When people are strapped for time, taking a once-a-week injectable diabetes drug, even if one doesn’t have diabetes, can seem like a quick fix for weight loss.

However, celebrities like Kim Kardashian, entrepreneurs like Elon Musk, and TikTok influencers are touting its weight loss benefits, causing a shortage of the drug in the United States, and many people with diabetes haven’t been able to fill their prescriptions for months. Doctors are equally to blame, who are often giving out Ozempic prescriptions to help people without diabetes lose weight.

Dave Carlson, of Seattle, Washington, lives with type 1 diabetes and hasn’t been able to fill his Ozempic prescription at all this year. “I’m having a really hard time getting it,” he said.

Shannon Moreau, from Stratford, Connecticut, has type 1 diabetes, and she was prescribed Ozempic “off-label” to help manage insulin resistance. “I received my prescription in November and was only able to fill it once,” she said. “I haven’t been able to get my Ozempic since then.”

When people with diabetes who are prescribed Ozempic as a medical necessity are unable to get it, insulin resistance can skyrocket, and insulin needs and blood sugars can fluctuate.

“I’ve stopped taking it completely,” said Kathryn Kirk, who has type 2 diabetes and lives in upstate New York. “It’s really frustrating because my blood sugars had improved immensely over the past year while taking Ozempic, but now my blood sugars are worse, and I’ve gained weight.”

When will the shortage end?

Novo Nordisk is planning to ramp up the development of the drug. Novo Nordisk told diaTribe that its 0.25 and 0.5 pens were having the most supply disruptions, “due to the combination of incredible demand coupled with overall global supply constraints.” The company said in a statement that anyone concerned about their continuity of treatment and care should contact their doctors for advice.

“While we recognize that some healthcare providers may be prescribing Ozempic for patients whose goal is to lose weight, Novo Nordisk does not promote, suggest, or encourage off-label use of our medicines and is committed to fully complying with all applicable US laws and regulations,” Novo Nordisk said in a statement to diaTribe. “We trust that healthcare providers are evaluating a patient’s individual needs and determining which medicine is right for that particular patient.”

For Schneider, the nurse in Madison, Wisconsin, and many other providers we spoke to who see people with diabetes struggling every day to fill their prescriptions, the shortage can’t end soon enough. “I just want what’s best for my patients,” Schneider said, “and the ability to fill their prescriptions is part of that.”

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