saxenda prescription as a possible solution to diabetes

Saxenda as a Potential Diabetes Solution

Primarily recognized for its prowess in weight management, Saxenda emerges as a potential, yet unexpected, contender in the battle against diabetes. Saxenda is the brand name for liraglutide, a drug that mimics a naturally occurring hormone in the body, glucagon-like-peptide-1 (GLP-1). This hormone plays a pivotal role in managing insulin levels and digestion, influencing our overall metabolic health.

Interestingly, Saxenda, an injectable weight loss medication, contains the same active ingredient as Victoza, another medication designed specifically for diabetes management - liraglutide. Despite this similarity, Saxenda is not prescribed as a diabetes treatment. Its safety and effectiveness remain unconfirmed for children under 12 years of age and those aged 12 to 17 years with type 2 diabetes. Saxenda holds approval solely for weight management purposes and is not officially endorsed for treating type 2 diabetes, for concurrent use with insulin or other GLP-1 agonists, or for preventing diabetes.

Here's how Saxenda works:

Saxenda's operation can be distilled into two primary functions - appetite regulation and glucose control. Let's delve into the details:

Appetite Regulation

Saxenda, enriched with liraglutide, behaves similarly to the body's natural hormone, glucagon-like-peptide-1 (GLP-1). This hormone is instrumental in regulating hunger cues, informing the body when to feel hungry or satiated. Saxenda capitalizes on this mechanism to manage appetite effectively.

The drug slows gastric motility, which is the speed at which food passes through the stomach. This delayed process prolongs the feeling of fullness, reducing overall calorie consumption.

Simultaneously, Saxenda influences the levels of leptin, a hormone that regulates energy balance by inhibiting hunger. The medication's effect on reducing leptin levels, paralleled by the proper use of meal replacement shakes for diabetics, supports sustained weight loss over time.

Glucose Control

Another significant function of Saxenda is its influence on glucose control. When blood sugar levels escalate, Saxenda triggers an increased release of insulin, a hormone that helps transport glucose into cells where it can be used for energy. Simultaneously, the medication curtails the amount of glucose that the liver produces and releases. These dual actions aid in maintaining more stable blood sugar levels, which can be particularly beneficial for individuals with diabetes.

Clinical Trials and Results

Several clinical trials have investigated the benefits of Saxenda in the context of diabetes. Key findings include:

Saxenda has proven to be a real help for people trying to lose weight. This was confirmed in a year-long study where researchers compared the results of two groups of adults who were either obese or overweight with other health problems. One group received Saxenda every day, while the other group received a placebo, which is a treatment with no active effects.

To help everyone in the study improve their health, they were all advised to increase their physical activity and eat a diet that had 500 fewer calories per day than they needed to maintain their weight.

The results were really promising. Most of the people who were given Saxenda lost a significant amount of weight - at least 5% of their starting weight - and this weight loss was much greater than the group who received the placebo. In fact, in another year-long study, 85% of adults who took Saxenda lost some weight.

Based on these positive results, in December 2014, the U.S. Food and Drug Administration (FDA) approved Saxenda as a treatment for long-term weight management. This approval means that adults who are obese (with a Body Mass Index, or BMI, over 30) or overweight (with a BMI over 27) and have a related health condition like type 2 diabetes, heart disease, high blood pressure, or high cholesterol can be prescribed Saxenda. They should also follow a reduced-calorie, high protein diet and increase their physical activity.

The FDA's decision was based on the results of three big clinical trials, called the SCALE studies, which ran for 56 weeks to check if Saxenda was both safe and effective. The researchers looked at how many people lost at least 5% or 10% of their starting weight, and the results were positive.

Potential Risks and Side Effects

Like any medication, Saxenda can cause a variety of side effects. Some of the more common side effects include:

  • Nausea
  • Diarrhea
  • Constipation
  • Vomiting
  • Reaction at the injection site
  • Low blood sugar (hypoglycemia)
  • Headache
  • Fatigue
  • Dizziness
  • Stomach pain
  • Change in enzyme (lipase) levels in your blood

Although these symptoms are usually mild and manageable, they can be especially challenging for those adjusting to changes in diet and lifestyle after bariatric surgery.

Some serious side effects can also occur. These include:

  • Potential thyroid tumors, including cancer
  • Pancreatitis

If you start to notice a lump or swelling in your neck, have difficulty swallowing, experience hoarseness, or have shortness of breath, these could be symptoms of thyroid cancer, and you should contact your healthcare provider immediately.

Additionally, Saxenda can sometimes cause:

  • Allergic reactions
  • Suicidal thoughts
  • Interactions with other drugs

Remember that if any side effects persist or worsen, you should contact your doctor, who can provide guidance and solutions to manage them. Your health and comfort are paramount, so don't hesitate to seek medical advice when needed.

Prescription Drugs Similar to Saxenda

Saxenda is a recognized brand-name drug, which contains the active ingredient liraglutide. This ingredient is known as a glucagon-like peptide-1 receptor agonist, which is a fancy way of saying it helps regulate appetite and blood sugar levels.

There are other drugs on the market that work similarly to Saxenda. These include:

  • Adipex-P
  • Wegovy
  • Semaglutide
  • Topamax
  • Ozempic
  • Mounjaro
  • Victoza
  • Xenical
  • Qsymia
  • Contrave

These medications are typically used for weight loss and may work in ways similar to Saxenda. However, it's important to remember that each drug is unique. They might have different recommended dosages, side effects, and interactions with other drugs.

10 Natural Alternatives to Saxenda

When considering natural supplements for weight loss or appetite control, there are several options that might be beneficial. Always remember, though, that these supplements are most effective when used in conjunction with a healthy diet and regular physical activity.

Here are some examples:

  1. Glucomannan: This dietary fiber is derived from the konjac root, which can absorb water and create a sense of fullness, possibly reducing food intake.
  2. Carb Blockers: This supplement may help limit the absorption of carbohydrates in the body, potentially aiding in weight loss.
  3. Green Tea Extract: A natural source of caffeine and catechins, green tea extract could boost your metabolism and increase fat burning.
  4. AmBari Nutrition's KLB-5: KLB-5 is designed to enhance weight loss by boosting metabolism and reducing fluid retention.
  5. Protein Powder: Protein can promote feelings of satiety, and a protein powder supplement could help curb appetite while supporting muscle growth.
  6. Meta Booster Thermogenic Drinks: This supplement aims to increase your body's natural ability to burn fat.
  7. Fiber Supplements: Supplements like psyllium husk can slow down digestion, making you feel fuller for longer.
  8. Jump Start Energy Drink Mix: This product can give a kick-start to your weight loss journey with its metabolism-boosting properties.
  9. Doctors Designs Thermocaps: ThermoCaps is a meticulously curated blend of botanicals and nutrients designed to enhance thermogenesis, stimulate fat breakdown, and boost metabolism. 
  10. Garcinia Cambogia: Extracted from a tropical fruit, this supplement contains hydroxycitric acid, which may help inhibit fat production and suppress appetite.

Remember, the key to effective weight loss isn't just about supplementation, but about maintaining a balanced lifestyle. 


Saxenda, primarily known for its role in weight management, does present potential benefits for those battling diabetes. Its primary mechanism, which involves appetite regulation and glucose control, reflects its dual utility. Despite its promising results in clinical trials, it's important to remember that Saxenda isn't officially approved for diabetes treatment. As with any medication, it carries the risk of side effects, and it's essential to consult with a healthcare provider before starting treatment. There are also several Saxenda analogs and natural alternatives that could be considered, depending on individual needs and lifestyle. Ultimately, whether it's through prescription drugs like Saxenda, natural supplements, or a combination of both, a balanced lifestyle inclusive of a healthy diet and regular physical activity remains the cornerstone of effective weight management and overall metabolic health.

Written By: Carrie H.

Carrie is a dedicated health and nutrition writer with a strong background in medical and scientific research. She is driven by a passion for helping others lead healthier lives, delving into the latest scientific research. Combining evidence-based knowledge with practical advice, Carrie strives to provide accurate and valuable information on health, nutrition, and wellness. Her ultimate aim is to empower readers, enabling them to make informed choices about their well-being.

Reviewed By: Dr. Huffman

Dr. Kevin D. Huffman, D.O., is a leading board-certified bariatric physician with extensive expertise in treating obesity. He has trained countless healthcare providers and founded American Bariatric Consultants to develop protocols and training materials sought by medical societies, pharmaceutical companies, patients, and hospitals. Dr. Huffman's impact extends beyond patient care as he prepares physicians for board certification, expanding access to this vital treatment.

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