I'm on mounjaro for type 2 diabetes, trying to make the lifestyle changes to get it under control. When I went up to 7.5 it triggered horrendous anxiety, so we moved it back down this week.

To the question: I have almost zero appetite, and have had to make myself eat what I'm eating. I've basically completely nuked the carbs out of my diet, the only real carb intake I've had has been salad.

I'm shaky constantly. To the point I don't feel like I can sit still. By Sugar is at 109 on a reliable meter, so it's not low. My heart rate has been elevated, but it already was known to run fairly high.

Every suggestion I see says to try a liquid IV packet to try and restore electrolytes, and the electrolyte imbalance may be what's causing me to feel this way. The problem with that is the 40mg of lisinopril they have me on for blood pressure....it says very specifically not to intake extra potassium.

Just curious if anyone has an opinion on using one a day... it's about the same amount of potassium as a banana, and I'm not, unless I'm missing something, taking in any other real sources of potassium.

I intend to try and talk to my dr about this tomorrow, but looking for opinions for now, feeling pretty rotten atm, and ready to stop the mounjaro if the side effects don't calm down.

Can't speak to most of your post, but this I do know: some folks' bodies become so accustomed to elevated blood sugars that a reading of 109 can make them feel hypoglycemic. Is this not a potential explanation?

I start to feel hyperglycemic at 120 because I'm just not used to being that high. Once again, what is your body accustomed to?

Type 1 for 40 years. Last A1C was 4.6.

Absolutely talk with your doctor, but broadly speaking, being in a calorie deficit will make you feel shaky and uncomfortable at times. And it's not always related to blood sugar because as you pointed out, your sugar is not crashing.

We haven't quite dialed in those weight loss meds to eliminate fatigue while on a prolonged calorie restriction…except if you want to use something like phentermine for a few months in addition to your Monjauro

I'm very old school in my approach, and I personally wouldn't take potassium supplements unless you have a very specific medical reason for doing so. Potassium has an incredibly tight normal range, and prolonged high or low potassium has serious cardiac electrical abnormalities

Ag_of_08 said:

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I'm on mounjaro for type 2 diabetes, trying to make the lifestyle changes to get it under control. When I went up to 7.5 it triggered horrendous anxiety, so we moved it back down this week.

To the question: I have almost zero appetite, and have had to make myself eat what I'm eating. I've basically completely nuked the carbs out of my diet, the only real carb intake I've had has been salad.

I'm shaky constantly. To the point I don't feel like I can sit still. By Sugar is at 109 on a reliable meter, so it's not low. My heart rate has been elevated, but it already was known to run fairly high.

Every suggestion I see says to try a liquid IV packet to try and restore electrolytes, and the electrolyte imbalance may be what's causing me to feel this way. The problem with that is the 40mg of lisinopril they have me on for blood pressure....it says very specifically not to intake extra potassium.

Just curious if anyone has an opinion on using one a day... it's about the same amount of potassium as a banana, and I'm not, unless I'm missing something, taking in any other real sources of potassium.

I intend to try and talk to my dr about this tomorrow, but looking for opinions for now, feeling pretty rotten atm, and ready to stop the mounjaro if the side effects don't calm down.

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I'd also add that if you are doing no carbs then you are likely in ketosis. A lot of people get "ketosis flu" when they just start ketosis, which, as the name implies, can literally make you feel sick. That typically goes away after a few days (I'd say 1-2 weeks at most) but I was never interested enough to tough it out. Unless you are specifically trying to achieve weight loss through ketosis I'd probably go light on carbs but at least eat some, preferably those with benefits like whole oatmeal or buckwheat.

RightWingConspirator said:

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Can't speak to most of your post, but this I do know: some folks' bodies become so accustomed to elevated blood sugars that a reading of 109 can make them feel hypoglycemic. Is this not a potential explanation?

I start to feel hyperglycemic at 120 because I'm just not used to being that high. Once again, what is your body accustomed to?

Type 1 for 40 years. Last A1C was 4.6.

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Starting to think this is pretty likely, my a1c was 9.2 before I started this medication, and has been high for a few years. It had dropped to 7.8 after starting the med, but I was still eating like crap at that point.

My hope is to eventually get off this med and back.on to less abrasive ones. Today is a little better than yesterday, and I have eaten significantly more today, along with some carbs this morning