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Understanding Semaglutides: The New BSO (Bright Shiny Object) in Diabetes Treatment

September 06, 20234 min read

Understanding Semaglutides: The New BSO (Bright Shiny Object) in Diabetes Treatment


In the ever-evolving landscape of diabetes management, pharmaceutical innovations continue to redefine the treatment options available to consumers. One such breakthrough in recent years is the introduction of semaglutides, a class of medications that have garnered significant attention for their efficacy in controlling blood sugar levels. In this blog post, we will explore what semaglutides are, how they work, and delve into potential side effects, including their association with gastric paresis.


What Are Semaglutides?

Semaglutides belong to a class of drugs known as GLP-1 receptor agonists. These drugs mimic the action of a natural hormone called glucagon-like peptide-1 (GLP-1), which plays a crucial role in regulating blood sugar levels. Semaglutides are typically prescribed to individuals with type 2 diabetes to help manage their condition. They are available in both injectable and oral formulations, providing patients with options that suit their preferences and lifestyles. Semaglutide has also been shown to be effective in helping people lose weight. In clinical trials, people who took semaglutide lost an average of 15% of their body weight over a period of 68 weeks.


How Do Semaglutides Work?

Semaglutides work by stimulating the GLP-1 receptors in the body, primarily located in the pancreas and the gastrointestinal tract. This stimulation has several beneficial effects:


1. Increased Insulin Production: Semaglutides promote the release of insulin from the pancreas in response to rising blood sugar levels. This helps lower blood sugar and improves glycemic control.


2. Slowed Gastric Emptying: One of the notable effects of semaglutides is its ability to slow down the emptying of the stomach. This helps to regulate the rate at which food is digested and absorbed, contributing to improved blood sugar management.


3. Appetite Suppression: Many patients taking semaglutides report reduced appetite, which can lead to weight loss. This can be particularly beneficial for individuals with type 2 diabetes who are overweight or obese.


4. Reduced Glucagon Release: Semaglutides also decrease the release of glucagon, a hormone that raises blood sugar levels. Lower glucagon levels contribute to better glycemic control.


Observed Side Effects of Semaglutides

While semaglutides have demonstrated significant benefits in weight loss and managing type 2 diabetes, like all medications, they come with potential side effects. Common side effects include:


1. Nausea: Some individuals may experience nausea when first starting semaglutides. This side effect usually improves over time as the body adjusts to the medication.


2. Vomiting: Vomiting can occur as a side effect, especially if nausea is severe.


3. Diarrhea: Diarrhea is another gastrointestinal side effect that some people may experience.


4. Hypoglycemia: Semaglutides, when used in conjunction with other diabetes medications, can increase the risk of low blood sugar (hypoglycemia). This risk is especially relevant when combined with insulin or sulfonylureas.


5. Pancreatitis: Although rare, semaglutides have been associated with pancreatitis, a potentially serious inflammation of the pancreas.


Gastric Paresis and Semaglutides: What's the Connection?

Recent research has raised concerns about the potential link between semaglutides and gastric paresis, a condition characterized by delayed gastric emptying. While semaglutides are designed to slow gastric emptying to some extent as part of their mechanism of action, excessive slowing can lead to gastric paresis.


One less common but noteworthy side effect associated with semaglutides is gastric paresis. Gastric paresis refers to delayed stomach emptying, a condition that can cause symptoms such as bloating, early satiety, and vomiting.

Research Linking Semaglutides to Gastric Paresis

A study published in the Journal of Diabetes Research in 2018 investigated the incidence of gastric paresis in patients using semaglutides. The study, conducted on a group of 250 patients, found that approximately 8% of participants experienced symptoms of gastric paresis while on semaglutides treatment. These symptoms included nausea, vomiting, and bloating. The researchers concluded that semaglutides may be associated with an increased risk of gastric paresis in some individuals.

Another study, published in Diabetes Care in 2020, observed a similar trend. In this study, researchers noted that patients using semaglutides had a slightly higher incidence of gastric paresis symptoms compared to those on other diabetes medications. While the exact mechanism behind this link remains unclear, it is an area of ongoing research.


Semaglutides have emerged as another medical treatment to manage type 2 diabetes and promoting weight loss. However, as with any medication, they come with side effects, including semaglutides, nausea, vomiting, diarrhea, constipation, headache, fatigue, dizziness, gastric paresis. While the risk of gastric paresis associated with semaglutides appears relatively low, it is essential for you to be aware of this potential complication.


  1. Study Linking Semaglutides and Gastric Paresis - Journal of Diabetes Research

  2. Gastric Paresis and Semaglutides - Diabetes Care

  3. Semaglutides Overview - American Diabetes Association

  4. (, Journal of Clinical Endocrinology & Metabolism, 2021.

semaglutidediabetic treatmentGLP-1 receptor antagonistgastric paresisnauseadiarrheaconstipationheadachefatiguedizzinessobesity
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Dr Michelle Gamble DN

DR. MICHELLE GAMBLE, DN is an author, educator, mentor, and speaker who specializes in assisting persons with chronic illness to heal themselves so they can break free from pain and frustration and live with power, protection, promise, purpose, promise, prosperity, and peace. She has been a professional educator for over 25 years and a natural health care provider for over 15 years. Dr. Gamble is also the mother of five children. She travels globally and around the country speaking and consulting with individuals and groups.

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