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ForumsMetabolic Health & DiabetesA1C target achievement rates — looking for input Page 4

A1C target achievement rates — looking for input

SurmountFan_IN Fri, Jan 9, 2026 at 4:01 PM 30 replies 1,086 viewsPage 4 of 6
SurmountFan_IN
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May 2024
Indianapolis, IN
Jan 9, 2026 at 9:41 PM#16

OP here — wow, did not expect this much response! Thank you all for the thoughtful replies on A1C target achievement.

To answer tane_welly: yes, I am on compounded sema from a 503B pharmacy.

Quick update: things are still going well. Thanks again for the evidence-based discussion — this is exactly why I posted in a science-based community. 🙏

Last edited: Jan 9, 2026 at 10:41 PM
10 13DebRD_ATL, KristenIndy, MarkLI_maint and 7 others
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Dr.RaviCardio
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Jan 9, 2026 at 9:58 PM#17

Relevant to A1C target achievement rates — here is my latest bloodwork comparison:

Key improvements: A1C 7.6% → 5.5%, triglycerides 229 → 99 mg/dL, hsCRP 8.0 → 1.1 mg/L. All on tirzepatide for 9 months.

The inflammatory marker drop is what impresses me most. Consistent with the SELECT trial's cardiovascular findings.

Last edited: Jan 9, 2026 at 10:58 PM
35 1anna.melb_AU, mark_tokyo, hans_munich and 32 others
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claudia_zurich
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Jan 9, 2026 at 10:15 PM#18

100%. My provider said the same thing about A1C target achieveme.

27 22Dr.LipidDallas, alex_tucson, kevin_tulsa and 24 others
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Dr.BariatricHTX
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Feb 2024
Houston, TX
Jan 9, 2026 at 10:32 PM#19

Slightly tangential to A1C target achievement but KristenIndy reminded me — does anyone have experience combining this with metformin?

I know it is not exactly on-topic but it seems related enough to ask here rather than starting a new thread. Apologies if this has been covered — I did search first.

32 19stefan_berlin, Dr.EM_Chicago, pete_RVA and 29 others
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tony_orlando
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Nov 2024
Orlando, FL
Jan 9, 2026 at 10:49 PM#20
SurmountFan_IN said:
Thank you all for the thoughtful replies on A1C target achievement

This is exactly right. SurmountFan_IN articulated what I have been trying to explain to my doctor for months. The A1C target achievement aspect is the most important factor.

Last edited: Jan 9, 2026 at 11:49 PM
1 3KetoKyle
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