{"id":2084,"date":"2023-05-31T17:21:00","date_gmt":"2023-05-31T17:21:00","guid":{"rendered":"https:\/\/survivingdiabetes.com\/?p=2084"},"modified":"2022-10-12T17:27:00","modified_gmt":"2022-10-12T17:27:00","slug":"semaglutide-on-the-nhs","status":"publish","type":"post","link":"https:\/\/survivingdiabetes.com\/semaglutide-on-the-nhs\/","title":{"rendered":"Semaglutide on the NHS"},"content":{"rendered":"\n<p>Semaglutide, also known as Wegovy, has been approved for use on the NHS. It is used to help people lose weight through a pen injector. It has been approved for use in patients with type 2 diabetes, and it has been widely recommended by medical professionals. However, you should be aware of the potential side effects of this medication.<\/p>\n\n\n\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_63 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<p class=\"ez-toc-title\">Table of Contents<\/p>\n<label for=\"ez-toc-cssicon-toggle-item-66172a9f21b2f\" class=\"ez-toc-cssicon-toggle-label\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/label><input type=\"checkbox\"  id=\"ez-toc-cssicon-toggle-item-66172a9f21b2f\"  aria-label=\"Toggle\" \/><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/survivingdiabetes.com\/semaglutide-on-the-nhs\/#Semaglutide\" title=\"Semaglutide\">Semaglutide<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/survivingdiabetes.com\/semaglutide-on-the-nhs\/#Liraglutide\" title=\"Liraglutide\">Liraglutide<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/survivingdiabetes.com\/semaglutide-on-the-nhs\/#Wegovy\" title=\"Wegovy\">Wegovy<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/survivingdiabetes.com\/semaglutide-on-the-nhs\/#Fast_escalation_regimen\" title=\"Fast escalation regimen\">Fast escalation regimen<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/survivingdiabetes.com\/semaglutide-on-the-nhs\/#Side_effects\" title=\"Side effects\">Side effects<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/survivingdiabetes.com\/semaglutide-on-the-nhs\/#Cost\" title=\"Cost\">Cost<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Semaglutide\"><\/span>Semaglutide<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignleft size-full is-resized\"><img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/survivingdiabetes.com\/wp-content\/uploads\/2022\/10\/shutterstock_2185455011.jpg\" alt=\"\" class=\"wp-image-2087\" width=\"509\" height=\"339\" srcset=\"https:\/\/survivingdiabetes.com\/wp-content\/uploads\/2022\/10\/shutterstock_2185455011.jpg 1000w, https:\/\/survivingdiabetes.com\/wp-content\/uploads\/2022\/10\/shutterstock_2185455011-300x200.jpg 300w, https:\/\/survivingdiabetes.com\/wp-content\/uploads\/2022\/10\/shutterstock_2185455011-768x512.jpg 768w, https:\/\/survivingdiabetes.com\/wp-content\/uploads\/2022\/10\/shutterstock_2185455011-390x260.jpg 390w, https:\/\/survivingdiabetes.com\/wp-content\/uploads\/2022\/10\/shutterstock_2185455011-285x190.jpg 285w\" sizes=\"(max-width: 509px) 100vw, 509px\" \/><\/figure><\/div>\n\n\n<p>Semaglutide is a weight loss drug approved by the National Institute for Health and Care Excellence (NICE). It is an injectable drug that mimics the effects of the hormone GLP-1 on the body, which makes people feel full. This in turn leads to less calorie intake and a reduced appetite. Semaglutide is recommended for adults with a BMI of over 30.<\/p>\n\n\n\n<p>Patients with an underactive thyroid gland may benefit from semaglutide. People with this condition are at risk of complications such as heart disease, high blood pressure, and type 2 diabetes. Clinical trials have shown that people taking semaglutide experienced greater weight loss than those on a placebo. However, the drug has its limitations. Those who have a family history of certain endocrine tumors may not benefit from semaglutide.<\/p>\n\n\n\n<p>It is important to consult with your GP about any side effects before taking semaglutide. The medication may affect the body's ability to absorb other medications, such as insulin. If you have a history of thyroid disease, talk to your doctor before taking semaglutide. If you experience abdominal pain or swelling, it's best to call your doctor.<\/p>\n\n\n\n<p>The PIII trial, published in Diabetes Care, showed that semaglutide was superior to placebo in reducing HbA1c. However, it was associated with greater GI side effects.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Liraglutide\"><\/span>Liraglutide<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/survivingdiabetes.com\/wp-content\/uploads\/2022\/10\/shutterstock_1845349903.jpg\" alt=\"\" class=\"wp-image-2088\" width=\"406\" height=\"305\" srcset=\"https:\/\/survivingdiabetes.com\/wp-content\/uploads\/2022\/10\/shutterstock_1845349903.jpg 1000w, https:\/\/survivingdiabetes.com\/wp-content\/uploads\/2022\/10\/shutterstock_1845349903-300x225.jpg 300w, https:\/\/survivingdiabetes.com\/wp-content\/uploads\/2022\/10\/shutterstock_1845349903-768x576.jpg 768w\" sizes=\"(max-width: 406px) 100vw, 406px\" \/><\/figure><\/div>\n\n\n<p>The use of subcutaneous semaglutide has been shown to reduce HbA1c levels. In a clinical trial, this drug decreased HbA1c levels in more than 90% of patients. It is also available as an oral medication. Its side effects were well-controlled in a trial involving over 3,300 patients.<\/p>\n\n\n\n<p>Semaglutide is a popular drug in the treatment of diabetes. Liraglutide is a glucosamine-releasing hormone (GLP-1R) agonist. It works by increasing the amount of insulin secreted by the pancreas. It has been proven to have positive effects on blood sugar levels and weight. Its low price makes it an affordable option for UK payers.<\/p>\n\n\n\n<p>Patients with type 2 diabetes may also benefit from taking liraglutide. The drug is available in different strengths and can be taken once a day or once weekly. It is recommended for people with a HbA1c over 7.5%. The drug can also be used in combination with other diabetes medications. However, it is important to remember that a single medication cannot maintain glycemic control indefinitely.<\/p>\n\n\n\n<p>The oral semaglutide group showed significantly better glycemic control than placebo. At 26 weeks, 44% achieved a target HbA1c level below 7.0%. At the same time, up to 71% of the patients experienced clinically relevant weight loss. These improvements were similar among the three treatment groups, with the most patients experiencing only mild to moderate gastrointestinal reactions.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Wegovy\"><\/span>Wegovy<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Wegovy (semaglutide) is a prescription medication used to treat diabetes. It is only available from a specialist. It can cause serious side effects. Some people may experience severe stomach pain, often associated with vomiting, and they may need surgery. They may also experience gallstones or a condition called pancreatitis. Symptoms of this condition may include abdominal pain and vomiting, severe rash, increased heart rate, or yellowing of the skin or eyes.<\/p>\n\n\n\n<p>Wegovy has faced supply problems during its short time on the market. Demand for the medication soared after it was launched, and Novo's supply chain was not ready to keep up. While pharma companies normally increase their capacity as their products are launched, Novo was forced to play catch up in the early months of Wegovy's life in the U.K.<\/p>\n\n\n\n<p>According to the UK's National Institute for Health and Care Excellence (NICE), Wegovy is currently not available on the NHS. But it is expected to be approved by the health service later this year. NICE has also published preliminary criteria for prescribing Wegovy. These criteria include a reduced-calorie diet and increased physical activity. In addition, patients should have at least one weight-related disease, such as type 2 diabetes, cardiovascular disease, or sleep apnea.<\/p>\n\n\n\n<p>Patients with a BMI of 30 or more should consider Wegovy if they are not responding to other treatments. Patients in tier 3 multidisciplinary services may also benefit from the drug.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Fast_escalation_regimen\"><\/span>Fast escalation regimen<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignleft size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/survivingdiabetes.com\/wp-content\/uploads\/2022\/10\/shutterstock_2151353625.jpg\" alt=\"\" class=\"wp-image-2091\" width=\"381\" height=\"254\" srcset=\"https:\/\/survivingdiabetes.com\/wp-content\/uploads\/2022\/10\/shutterstock_2151353625.jpg 1000w, https:\/\/survivingdiabetes.com\/wp-content\/uploads\/2022\/10\/shutterstock_2151353625-300x200.jpg 300w, https:\/\/survivingdiabetes.com\/wp-content\/uploads\/2022\/10\/shutterstock_2151353625-768x512.jpg 768w, https:\/\/survivingdiabetes.com\/wp-content\/uploads\/2022\/10\/shutterstock_2151353625-390x260.jpg 390w, https:\/\/survivingdiabetes.com\/wp-content\/uploads\/2022\/10\/shutterstock_2151353625-285x190.jpg 285w\" sizes=\"(max-width: 381px) 100vw, 381px\" \/><\/figure><\/div>\n\n\n<p>Semaglutide is an agonist of the GLP-1 receptor and is associated with gastrointestinal adverse effects and dehydration. It has not been studied in pediatric patients and should not be administered intravenously or intramuscularly. It is recommended that it is given orally once per week, with or without meals.<\/p>\n\n\n\n<p>It is used to treat T2DM. Patients with T2DM and established CV risk were randomized to once-daily oral semaglutide or placebo. The dose was reduced by 20% at randomization to avoid hypoglycemia. During the trial, patients were also given insulin at baseline concentrations.<\/p>\n\n\n\n<p>One study suggested that semaglutide is potentially harmful to pregnant women. It decreased the number of ovulations and lengthened the oestrous period. Semaglutide is known to have adverse effects, with the most common being gastrointestinal disorders. However, these adverse effects were mild to moderate and short-lived.<\/p>\n\n\n\n<p>Semaglutide is very poorly absorbed when administered intravenously, but SNAC was a relatively safe alternative. It has a t 1\/2 of about 34 minutes. When administered orally, semaglutide has a long half-life of 12.5 hours in the intestines and minimal risk of GI adverse effects. It is important to note that semaglutide is also extensively metabolised prior to excretion. Semaglutide undergoes proteolytic cleavage and sequential beta-oxidation.<\/p>\n\n\n\n<p>Despite the low frequency of adverse effects, the safety of semaglutide is comparable to that of placebo. The most common AEs in both groups were mild-to-moderate GI events, such as diarrhea. A small number of patients discontinued the study due to severe GI toxicity, but the majority were mild-to-moderate GI AEs.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Side_effects\"><\/span>Side effects<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/survivingdiabetes.com\/wp-content\/uploads\/2022\/10\/shutterstock_1687336618.jpg\" alt=\"\" class=\"wp-image-2018\" width=\"378\" height=\"252\" srcset=\"https:\/\/survivingdiabetes.com\/wp-content\/uploads\/2022\/10\/shutterstock_1687336618.jpg 1000w, https:\/\/survivingdiabetes.com\/wp-content\/uploads\/2022\/10\/shutterstock_1687336618-300x200.jpg 300w, https:\/\/survivingdiabetes.com\/wp-content\/uploads\/2022\/10\/shutterstock_1687336618-768x512.jpg 768w, https:\/\/survivingdiabetes.com\/wp-content\/uploads\/2022\/10\/shutterstock_1687336618-390x260.jpg 390w, https:\/\/survivingdiabetes.com\/wp-content\/uploads\/2022\/10\/shutterstock_1687336618-285x190.jpg 285w\" sizes=\"(max-width: 378px) 100vw, 378px\" \/><\/figure><\/div>\n\n\n<p>Semaglutide has numerous side effects. Some of them are unpleasant and potentially dangerous. For example, the drug can cause dehydration. You should not get it if you are pregnant or breastfeeding. Your prescriber will monitor your condition and determine if this medication is safe for you. You may have to stop taking the medication two months before you become pregnant or if you are breastfeeding.<\/p>\n\n\n\n<p>Semaglutide is usually injected under the skin once a week. You should make sure the medicine is prepared properly before administering it to avoid unpleasant side effects. If you are unsure of how to prepare the medicine, you can consult your pharmacist. The medicine should not be cloudy, change color or have particles in it. Also, do not inject it in the same place two times. You should re-inject it in a different location after 2 days.<\/p>\n\n\n\n<p>Other side effects of semaglutide may include dehydration and headaches. You should report these symptoms to your health practitioner if they become bothersome. Some patients also experience severe vomiting and diarrhoea. The duration of these effects varies from patient to patient. Some people may not experience any side effects and will tolerate the medication with no problems.<\/p>\n\n\n\n<p>In addition to diarrhea, semaglutide can cause nausea. It can interfere with the way your body absorbs other medications. Therefore, it is crucial to know which medications interact with semaglutide.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Cost\"><\/span>Cost<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>The National Health Service in the UK relies on value-based decisions to manage healthcare budgets and ensure that the interventions that are funded provide the best value for money. One example of a value-based intervention is semaglutide, which is once-weekly administered to people with Type 2 diabetes. The NHS recently found semaglutide to be cost-effective for T2D treatment in the UK. The NHS uses a combination of short-term and long-term economic analyses to make cost-effectiveness decisions.<\/p>\n\n\n\n<p>Among the options for weight loss treatment, semaglutide can be prescribed by your doctor for people with an elevated BMI or those with other weight-related medical problems. It is a prescription drug that is able to help patients lose weight for up to two years. According to the latest Health Survey for England, more than a quarter of adults in England are considered overweight or obese. This is a major health issue that costs billions of pounds annually for the NHS and the economy.<\/p>\n\n\n\n<p>Semaglutide is a new obesity and diabetes medication that works by suppressing appetite by mimicking the release of the hormone GLP-1. It also reduces overall calorie intake and makes people feel fuller for longer. Semaglutide has been approved by the National Institute for Health and Care Excellence and is now available on the NHS.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Semaglutide, also known as Wegovy, has been approved for use on the NHS. It is used to help people lose weight through a pen injector. It has been approved for use in patients with type 2 diabetes, and it has been widely recommended by medical professionals. However, you should be aware of the potential side [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":2089,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[77],"tags":[363,360,361,359,362],"_links":{"self":[{"href":"https:\/\/survivingdiabetes.com\/wp-json\/wp\/v2\/posts\/2084"}],"collection":[{"href":"https:\/\/survivingdiabetes.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/survivingdiabetes.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/survivingdiabetes.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/survivingdiabetes.com\/wp-json\/wp\/v2\/comments?post=2084"}],"version-history":[{"count":1,"href":"https:\/\/survivingdiabetes.com\/wp-json\/wp\/v2\/posts\/2084\/revisions"}],"predecessor-version":[{"id":2092,"href":"https:\/\/survivingdiabetes.com\/wp-json\/wp\/v2\/posts\/2084\/revisions\/2092"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/survivingdiabetes.com\/wp-json\/wp\/v2\/media\/2089"}],"wp:attachment":[{"href":"https:\/\/survivingdiabetes.com\/wp-json\/wp\/v2\/media?parent=2084"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/survivingdiabetes.com\/wp-json\/wp\/v2\/categories?post=2084"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/survivingdiabetes.com\/wp-json\/wp\/v2\/tags?post=2084"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}