Oral Ozempic Launch, Semaglutide for Alcohol Use Disorder (Lancet RCT), and Canada’s First Generic Semaglutide | Week Ending May 8, 2026 This short Week in Diabetes and Endocrinology update covers three key developments for the week ending May 8, 2026: the nationwide U.S. launch of Oral Ozempic (rebranded/reformulated oral semaglutide tablets in 1.5, 4, and 9 mg with smaller pill size, same efficacy/safety, and cardiovascular risk-reduction labeling for adults with type 2 diabetes and established cardiovascular disease, plus pricing details and ongoing fasting administration requirements); a Lancet 26-week randomized trial in 108 adults with obesity and moderate-to-severe alcohol use disorder showing once-weekly semaglutide 2.4 mg added to CBT reduced heavy drinking days and total alcohol consumption with substantial weight loss, while noting it is not approved for AUD and was studied only in obese participants; and Health Canada’s approval of Apotex’s Apo-Semaglutide injection as the first Canadian-made generic Ozempic equivalent, signaling shifting global GLP-1 pricing and access. 00:00 Weekly Headlines00:24 Oral Ozempic Launch00:59 Dosing Labeling Pricing01:45 Lancet AUD Trial02:29 What It Means Clinically03:02 Limits Next Trials03:33 Canada Generic Semaglutide04:08 Global Access Shift04:34 Wrap Up And Sign Off

Oral Ozempic Launch, Semaglutide for Alcohol Use Disorder (Lancet RCT), and Canada’s First Generic Semaglutide | Week Ending May 8, 2026This short Week in Diabetes and Endocrinology update covers three key developments for the week ending May 8, 2026: the nationwide U.S. launch of Oral Ozempic (rebranded/reformulated oral semaglutide tablets in 1.5, 4, and 9 mg with smaller pill size, same efficacy/safety, and cardiovascular risk-reduction labeling for adults with type 2 diabetes and established cardiovascular disease, plus pricing details and ongoing fasting administration requirements); a Lancet 26-week randomized trial in 108 adults with obesity and moderate-to-severe alcohol use disorder showing once-weekly semaglutide 2.4 mg added to CBT reduced heavy drinking days and total alcohol consumption with substantial weight loss, while noting it is not approved for AUD and was studied only in obese participants; and Health Canada’s approval of Apotex’s Apo-Semaglutide injection as the first Canadian-made generic Ozempic equivalent, signaling shifting global GLP-1 pricing and access.00:00 Weekly Headlines00:24 Oral Ozempic Launch00:59 Dosing Labeling Pricing01:45 Lancet AUD Trial02:29 What It Means Clinically03:02 Limits Next Trials03:33 Canada Generic Semaglutide04:08 Global Access Shift04:34 Wrap Up And Sign Off

Hormone Insight

The Week in Endocrinology Oral Ozempic & Emerging Therapies

This episode reviews key diabetes/endocrinology updates for the week ending May 1, 2026: FDA clearance of Tandem Control-IQ Plus automated insulin delivery for pregnancy in type 1 diabetes supported by the CIRCUIT trial showing improved pregnancy-specific time-in-range; a US cost-effectiveness analysis in type 2 diabetes finding tirzepatide 10 mg and 15 mg cost-effective vs semaglutide 2 mg (ICERs ≈$70,147 and ≈$54,699 per QALY); late-breaking AACE meeting signals across obesity (combination therapies), thyroid ultrasound findings, and access disparities; a meta-analysis showing dapagliflozin increases hemoglobin in CKD; why most hypoglycemia risk prediction models in type 2 diabetes aren’t clinic-ready; and a trial where a short calorie-restricted high-dose oat diet lowered zonulin and increased butyric acid in metabolic syndrome. 00:00 Weekly Overview01:07 FDA AID Pregnancy04:14 Tirzepatide Value Math06:39 AACE Meeting Signals08:48 SGLT2 Anemia Boost11:23 Hypoglycemia Prediction Reality13:16 Oats Gut Barrier Pearl15:29 Wrap Up and Notes

This episode reviews key diabetes/endocrinology updates for the week ending May 1, 2026: FDA clearance of Tandem Control-IQ Plus automated insulin delivery for pregnancy in type 1 diabetes supported by the CIRCUIT trial showing improved pregnancy-specific time-in-range; a US cost-effectiveness analysis in type 2 diabetes finding tirzepatide 10 mg and 15 mg cost-effective vs semaglutide 2 mg (ICERs ≈$70,147 and ≈$54,699 per QALY); late-breaking AACE meeting signals across obesity (combination therapies), thyroid ultrasound findings, and access disparities; a meta-analysis showing dapagliflozin increases hemoglobin in CKD; why most hypoglycemia risk prediction models in type 2 diabetes aren’t clinic-ready; and a trial where a short calorie-restricted high-dose oat diet lowered zonulin and increased butyric acid in metabolic syndrome.00:00 Weekly Overview01:07 FDA AID Pregnancy04:14 Tirzepatide Value Math06:39 AACE Meeting Signals08:48 SGLT2 Anemia Boost11:23 Hypoglycemia Prediction Reality13:16 Oats Gut Barrier Pearl15:29 Wrap Up and Notes

Week in Diabetes & Endocrinology (May 4, 2026): AID in Pregnancy, Tirzepatide ICERs, AACE Signals, Dapagliflozin & Anemia, Hypoglycemia Models, Oat Diet Trial

The Week in Diabetes & Endocrinology — Episode 004 | April 24, 2026From Hormone Insight (hormoneinsight.com) Six stories this week that endocrinologists, diabetologists, and internists need to know. TIMESTAMPS:0:00 — Introduction & This Week's Stories1:15 — Tzield (Teplizumab) FDA Expanded to Age 1+ for Stage 2 Type 1 Diabetes5:30 — AACE 2026 Annual Meeting in Las Vegas: What's Worth Watching8:30 — Orforglipron ATTAIN-1 Subgroup: Consistent Weight Loss Across Every BMI12:00 — First Generic Dapagliflozin Arrives: Cost and Access Implications15:00 — GLP-1 Receptor Agonists and Erectile Dysfunction: Signal or Noise?18:00 — AACE Thyroid Ultrasound Finding: A New Clue for Indeterminate Nodules20:00 — Closing Thoughts REFERENCES & SHOW NOTES:▸ Tzield (teplizumab-mzwv) sBLA FDA approval: https://www.sanofi.com/en/media-room/press-releases/2026/2026-04-22-05-05-00-3278650▸ AACE 2026 Annual Meeting, Las Vegas (April 22–24): https://pro.aace.com▸ Orforglipron ATTAIN-1 BMI subgroup (AACE 2026): https://www.endocrinologyadvisor.com/reports/orforglipron-weight-loss-bmi-categories/▸ First generic dapagliflozin FDA approval: https://www.fda.gov/drugs/drug-alerts-and-statements/fda-approves-first-generic-dapagliflozin-tablets▸ GLP-1 RA and erectile dysfunction target-trial emulation (eClinicalMedicine): https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(26)00104-5/fulltext▸ AACE thyroid ultrasound presentation (post-microcystic reflection in indeterminate nodules) ABOUT THIS PODCAST:A weekly evidence-based review of the top stories in diabetes, obesity, thyroid, and endocrinology — modeled on Medscape's "This Week in Cardiology." New episodes every Thursday. For healthcare professionals. ▸ Website: https://hormoneinsight.com▸ Full show notes: https://hormoneinsight.com/podcast DOWNLOAD THE APP:▸ iOS: https://apps.apple.com/dz/app/hormone-insight/id6749515856▸ Android: https://play.google.com/store/apps/details?id=com.fahadwali78.hormoneinsightmobile&hl ️ This content is intended for healthcare professionals. It does not constitute medical advice for patients. #Endocrinology #DiabetesResearch #Tzield #Teplizumab #Type1Diabetes #AACE2026 #Orforglipron #GLP1 #Dapagliflozin #Farxiga #SGLT2 #ErectileDysfunction #ThyroidNodule #Endocrinology #ObesityMedicine #MedicalPodcast #HormoneInsight #CME #MedTwitter #DoctorsOfYouTube #EvidenceBasedMedicine #Tirzepatide #Semaglutide

The Week in Diabetes & Endocrinology — Episode 004 | April 24, 2026From Hormone Insight (hormoneinsight.com)Six stories this week that endocrinologists, diabetologists, and internists need to know.TIMESTAMPS:0:00 — Introduction & This Week's Stories1:15 — Tzield (Teplizumab) FDA Expanded to Age 1+ for Stage 2 Type 1 Diabetes5:30 — AACE 2026 Annual Meeting in Las Vegas: What's Worth Watching8:30 — Orforglipron ATTAIN-1 Subgroup: Consistent Weight Loss Across Every BMI12:00 — First Generic Dapagliflozin Arrives: Cost and Access Implications15:00 — GLP-1 Receptor Agonists and Erectile Dysfunction: Signal or Noise?18:00 — AACE Thyroid Ultrasound Finding: A New Clue for Indeterminate Nodules20:00 — Closing ThoughtsREFERENCES & SHOW NOTES:▸ Tzield (teplizumab-mzwv) sBLA FDA approval: https://www.sanofi.com/en/media-room/press-releases/2026/2026-04-22-05-05-00-3278650▸ AACE 2026 Annual Meeting, Las Vegas (April 22–24): https://pro.aace.com▸ Orforglipron ATTAIN-1 BMI subgroup (AACE 2026): https://www.endocrinologyadvisor.com/reports/orforglipron-weight-loss-bmi-categories/▸ First generic dapagliflozin FDA approval: https://www.fda.gov/drugs/drug-alerts-and-statements/fda-approves-first-generic-dapagliflozin-tablets▸ GLP-1 RA and erectile dysfunction target-trial emulation (eClinicalMedicine): https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(26)00104-5/fulltext▸ AACE thyroid ultrasound presentation (post-microcystic reflection in indeterminate nodules)ABOUT THIS PODCAST:A weekly evidence-based review of the top stories in diabetes, obesity, thyroid, and endocrinology — modeled on Medscape's "This Week in Cardiology." New episodes every Thursday. For healthcare professionals.▸ Website: https://hormoneinsight.com▸ Full show notes: https://hormoneinsight.com/podcast DOWNLOAD THE APP:▸ iOS: https://apps.apple.com/dz/app/hormone-insight/id6749515856▸ Android: https://play.google.com/store/apps/details?id=com.fahadwali78.hormoneinsightmobile&hl️ This content is intended for healthcare professionals. It does not constitute medical advice for patients.#Endocrinology #DiabetesResearch #Tzield #Teplizumab #Type1Diabetes #AACE2026 #Orforglipron #GLP1 #Dapagliflozin #Farxiga #SGLT2 #ErectileDysfunction #ThyroidNodule #Endocrinology #ObesityMedicine #MedicalPodcast #HormoneInsight #CME #MedTwitter #DoctorsOfYouTube #EvidenceBasedMedicine #Tirzepatide #Semaglutide

HORMONE INSIGHT -- THE WEEK IN DIABETES & ENDOCRINOLOGY -- Episode 004 | April 24, 2026

The Week in Diabetes & Endocrinology — Episode 003 | April 17, 2026From Hormone Insight (hormoneinsight.com) Six stories this week that endocrinologists, diabetologists, and internists need to know. TIMESTAMPS:0:00 — Introduction & This Week's Stories1:15 — Automated Insulin Delivery in Type 2 Diabetes: A Landmark Trial Worth Unpacking5:30 — Enlicitide: The First Oral PCSK9 Inhibitor (CORALreef Lipids)9:30 — SCORED and Sotagliflozin: What the Trial Actually Tells Us12:30 — Semaglutide in Type 1 Diabetes + Obesity (NEJM Evidence)15:00 — Boehringer Ingelheim's Strategic Bet on Obesity + Liver Health16:30 — Chronotype-Aligned Exercise: Timing May Matter as Much as Training18:00 — Closing Thoughts REFERENCES & SHOW NOTES:▸ AID in T2D (NEJM, 2IQP trial): https://doi.org/10.1056/NEJMoa2415948▸ Enlicitide CORALreef Lipids (Med): https://doi.org/10.1016/j.medj.2026.101097▸ CORALreef Lipids primary (NEJM): https://doi.org/10.1056/NEJMoa2511774▸ Semaglutide in T1D + obesity (NEJM Evidence): https://doi.org/10.1056/EVIDoa2500173▸ Chronotype-aligned exercise RCT (Open Heart): https://doi.org/10.1136/openhrt-2025-003573 ABOUT THIS PODCAST:A weekly evidence-based review of the top stories in diabetes, obesity, thyroid, and endocrinology — modeled on Medscape's "This Week in Cardiology." New episodes every Thursday. For healthcare professionals. ▸ Website: https://hormoneinsight.com▸ Full show notes: https://hormoneinsight.com/podcast DOWNLOAD THE APP:▸ iOS: https://apps.apple.com/dz/app/hormone-insight/id6749515856▸ Android: https://play.google.com/store/apps/details?id=com.fahadwali78.hormoneinsightmobile&hl ️ This content is intended for healthcare professionals. It does not constitute medical advice for patients. #Endocrinology #DiabetesResearch #AutomatedInsulinDelivery #PCSK9 #Enlicitide #Sotagliflozin #SCORED #Semaglutide #Type1Diabetes #Survodutide #Obesity #MASH #Chronotype #Exercise #MedicalPodcast #HormoneInsight #CME #MedTwitter #DoctorsOfYouTube #EvidenceBasedMedicine #Tirzepatide

The Week in Diabetes & Endocrinology — Episode 003 | April 17, 2026From Hormone Insight (hormoneinsight.com)Six stories this week that endocrinologists, diabetologists, and internists need to know.TIMESTAMPS:0:00 — Introduction & This Week's Stories1:15 — Automated Insulin Delivery in Type 2 Diabetes: A Landmark Trial Worth Unpacking5:30 — Enlicitide: The First Oral PCSK9 Inhibitor (CORALreef Lipids)9:30 — SCORED and Sotagliflozin: What the Trial Actually Tells Us12:30 — Semaglutide in Type 1 Diabetes + Obesity (NEJM Evidence)15:00 — Boehringer Ingelheim's Strategic Bet on Obesity + Liver Health16:30 — Chronotype-Aligned Exercise: Timing May Matter as Much as Training18:00 — Closing ThoughtsREFERENCES & SHOW NOTES:▸ AID in T2D (NEJM, 2IQP trial): https://doi.org/10.1056/NEJMoa2415948▸ Enlicitide CORALreef Lipids (Med): https://doi.org/10.1016/j.medj.2026.101097▸ CORALreef Lipids primary (NEJM): https://doi.org/10.1056/NEJMoa2511774▸ Semaglutide in T1D + obesity (NEJM Evidence): https://doi.org/10.1056/EVIDoa2500173▸ Chronotype-aligned exercise RCT (Open Heart): https://doi.org/10.1136/openhrt-2025-003573ABOUT THIS PODCAST:A weekly evidence-based review of the top stories in diabetes, obesity, thyroid, and endocrinology — modeled on Medscape's "This Week in Cardiology." New episodes every Thursday. For healthcare professionals.▸ Website: https://hormoneinsight.com▸ Full show notes: https://hormoneinsight.com/podcast DOWNLOAD THE APP:▸ iOS: https://apps.apple.com/dz/app/hormone-insight/id6749515856▸ Android: https://play.google.com/store/apps/details?id=com.fahadwali78.hormoneinsightmobile&hl️ This content is intended for healthcare professionals. It does not constitute medical advice for patients.#Endocrinology #DiabetesResearch #AutomatedInsulinDelivery #PCSK9 #Enlicitide #Sotagliflozin #SCORED #Semaglutide #Type1Diabetes #Survodutide #Obesity #MASH #Chronotype #Exercise #MedicalPodcast #HormoneInsight #CME #MedTwitter #DoctorsOfYouTube #EvidenceBasedMedicine #Tirzepatide

The Week in Diabetes and Endocrinology April 17, 2026

The Week in Diabetes & Endocrinology — Episode 002 | April 10, 2026 From Hormone Insight (hormoneinsight.com) Six stories this week that endocrinologists, diabetologists, and internists need to know. TIMESTAMPS: 0:00 — Introduction & This Week's Stories 1:30 — EZ-PAVE: LDL Under 55 Beats Under 70 in ASCVD (NEJM) 7:00 — CMS BALANCE Model: Medicare Covers GLP-1 for Obesity 11:00 — GZR4: Second Once-Weekly Insulin Beats Glargine AND Degludec 14:00 — CagriSema NMA at ACC 2026: Best Efficacy AND Tolerability 16:30 — BP Variability Predicts Dementia in Type 2 Diabetes (ADVANCE) 19:00 — Blood-Flow Restriction Training Boosts Mitochondria in T2D 21:00 — Closing Thoughts REFERENCES & SHOW NOTES: ▸ EZ-PAVE (NEJM): https://doi.org/10.1056/NEJMoa2600283 ▸ CMS BALANCE Model: https://www.cms.gov/priorities/innovation/innovation-models/balance ▸ GZR4 SUPER trials: https://www.prnewswire.com/news-releases/gan--lee-pharmaceuticals-once-weekly-basal-insulin-gzr4-injection-meets-primary-endpoints-in-two-pivotal-phase-3-clinical-trials-super-1-and-super-2-302730104.html ▸ CagriSema NMA (DOM): https://doi.org/10.1111/dom.70667 ▸ ADVANCE BP variability (JAHA): https://doi.org/10.1161/JAHA.125.044061 ▸ BFRT in T2D (Cell Metab): https://doi.org/10.1016/j.cmet.2025.12.016 ABOUT THIS PODCAST: A weekly evidence-based review of the top stories in diabetes, obesity, thyroid, and endocrinology — modeled on Medscape's "This Week in Cardiology." New episodes every Thursday. For healthcare professionals. ▸ Website: https://hormoneinsight.com ▸ Full show notes: https://hormoneinsight.com/podcast DOWNLOAD THE APP: ▸ iOS: https://apps.apple.com/dz/app/hormone-insight/id6749515856 ▸ Android: https://play.google.com/store/apps/details?id=com.fahadwali78.hormoneinsightmobile&hl ️ This content is intended for healthcare professionals. It does not constitute medical advice for patients. #Endocrinology #DiabetesResearch #LDLcholesterol #EZPAVE #GLP1 #Medicare #CagriSema #WeeklyInsulin #GZR4 #BloodPressure #Dementia #BFRT #ObesityMedicine #MedicalPodcast #HormoneInsight #CME #MedTwitter #DoctorsOfYouTube #EvidenceBasedMedicine #Tirzepatide #Semaglutide

The Week in Diabetes & Endocrinology — Episode 002 | April 10, 2026 From Hormone Insight (hormoneinsight.com) Six stories this week that endocrinologists, diabetologists, and internists need to know. TIMESTAMPS: 0:00 — Introduction & This Week's Stories 1:30 — EZ-PAVE: LDL Under 55 Beats Under 70 in ASCVD (NEJM) 7:00 — CMS BALANCE Model: Medicare Covers GLP-1 for Obesity 11:00 — GZR4: Second Once-Weekly Insulin Beats Glargine AND Degludec 14:00 — CagriSema NMA at ACC 2026: Best Efficacy AND Tolerability 16:30 — BP Variability Predicts Dementia in Type 2 Diabetes (ADVANCE) 19:00 — Blood-Flow Restriction Training Boosts Mitochondria in T2D 21:00 — Closing Thoughts REFERENCES & SHOW NOTES: ▸ EZ-PAVE (NEJM): https://doi.org/10.1056/NEJMoa2600283 ▸ CMS BALANCE Model: https://www.cms.gov/priorities/innovation/innovation-models/balance ▸ GZR4 SUPER trials: https://www.prnewswire.com/news-releases/gan--lee-pharmaceuticals-once-weekly-basal-insulin-gzr4-injection-meets-primary-endpoints-in-two-pivotal-phase-3-clinical-trials-super-1-and-super-2-302730104.html ▸ CagriSema NMA (DOM): https://doi.org/10.1111/dom.70667 ▸ ADVANCE BP variability (JAHA): https://doi.org/10.1161/JAHA.125.044061 ▸ BFRT in T2D (Cell Metab): https://doi.org/10.1016/j.cmet.2025.12.016 ABOUT THIS PODCAST: A weekly evidence-based review of the top stories in diabetes, obesity, thyroid, and endocrinology — modeled on Medscape's "This Week in Cardiology." New episodes every Thursday. For healthcare professionals. ▸ Website: https://hormoneinsight.com ▸ Full show notes: https://hormoneinsight.com/podcast DOWNLOAD THE APP: ▸ iOS: https://apps.apple.com/dz/app/hormone-insight/id6749515856 ▸ Android: https://play.google.com/store/apps/details?id=com.fahadwali78.hormoneinsightmobile&hl ️ This content is intended for healthcare professionals. It does not constitute medical advice for patients. #Endocrinology #DiabetesResearch #LDLcholesterol #EZPAVE #GLP1 #Medicare #CagriSema #WeeklyInsulin #GZR4 #BloodPressure #Dementia #BFRT #ObesityMedicine #MedicalPodcast #HormoneInsight #CME #MedTwitter #DoctorsOfYouTube #EvidenceBasedMedicine #Tirzepatide #Semaglutide

Episode 002: LDL Under 55 Wins Big, Medicare Covers GLP-1, and Second Weekly Insulin Emerges -- The Week in Diabetes & Endocrinology (April 10, 2026)

The Week in Diabetes & Endocrinology — Episode 001 | April 3, 2026From Hormone Insight (hormoneinsight.com) Six stories this week that endocrinologists, diabetologists, and internists need to know. TIMESTAMPS:0:00 — Introduction & This Week's Stories1:30 — Orforglipron (Foundayo) FDA Approval: The Oral GLP-1 Pill — Access-Changer, Not Game-Changer7:00 — Semaglutide 7.2 mg (Wegovy HD): 21% Weight Loss, But Watch the Dysesthesia Signal11:30 — Insulin Icodec (Awiqli): Once-Weekly Insulin — Sounds Great Until You Think About Sick Days16:00 — SURPASS-CVOT Post-Hoc in JAMA Cardiology: Tirzepatide's Cardiorenal NNT of 2719:30 — AACE 2026 Type 2 Diabetes Algorithm Update21:30 — GLP-1 RAs in Parkinson's Disease: 5 RCTs, 708 Patients, No Signal24:00 — Closing Thoughts REFERENCES & SHOW NOTES:▸ Orforglipron FDA approval: https://www.fda.gov/drugs/novel-drug-approvals-fda/novel-drug-approvals-2026▸ Wegovy HD FDA approval: https://www.fda.gov/news-events/press-announcements/fda-approves-fourth-product-under-national-priority-voucher-program-higher-dose-semaglutide▸ Awiqli FDA approval: https://www.prnewswire.com/news-releases/fda-approves-novo-nordisks-awiqli-the-first-and-only-once-weekly-basal-insulin-treatment-for-adults-with-type-2-diabetes-302726839.html▸ Nissen SE et al. JAMA Cardiol 2026 — SURPASS-CVOT cardiorenal post-hoc: https://doi.org/10.1001/jamacardio.2026.0767▸ Nicholls SJ et al. N Engl J Med 2025 — SURPASS-CVOT primary: https://doi.org/10.1056/NEJMoa2505928▸ AACE 2026 T2D Algorithm: https://www.sciencedirect.com/science/article/pii/S1530891X26000224▸ Raza H et al. Brain Behav 2026 — GLP-1 RAs in Parkinson's: https://doi.org/10.1002/brb3.71344 ABOUT THIS PODCAST:A weekly evidence-based review of the top stories in diabetes, obesity, thyroid, and endocrinology — modeled on Medscape's "This Week in Cardiology." New episodes every Thursday. For healthcare professionals. ▸ Website: https://hormoneinsight.com▸ Full show notes: https://hormoneinsight.com/podcast ️ This content is intended for healthcare professionals. It does not constitute medical advice for patients. #Endocrinology #DiabetesResearch #GLP1 #Orforglipron #Foundayo #WegovyHD #Semaglutide #InsulinIcodec #Awiqli #Tirzepatide #SURPASSCVOT #ObesityMedicine #Type2Diabetes #ClinicalTrials #EvidenceBasedMedicine #MedicalPodcast #HormoneInsight #EndocrinologyPodcast #Diabetology #CME #MedTwitter #DoctorsOfYouTube #InternalMedicine #Cardiology #CardiometabolicHealth #WeeklyInsulin #OralGLP1 #ParkinsonsDisease #AACE #PhysicianEducation

The Week in Diabetes & Endocrinology — Episode 001 | April 3, 2026From Hormone Insight (hormoneinsight.com)Six stories this week that endocrinologists, diabetologists, and internists need to know.TIMESTAMPS:0:00 — Introduction & This Week's Stories1:30 — Orforglipron (Foundayo) FDA Approval: The Oral GLP-1 Pill — Access-Changer, Not Game-Changer7:00 — Semaglutide 7.2 mg (Wegovy HD): 21% Weight Loss, But Watch the Dysesthesia Signal11:30 — Insulin Icodec (Awiqli): Once-Weekly Insulin — Sounds Great Until You Think About Sick Days16:00 — SURPASS-CVOT Post-Hoc in JAMA Cardiology: Tirzepatide's Cardiorenal NNT of 2719:30 — AACE 2026 Type 2 Diabetes Algorithm Update21:30 — GLP-1 RAs in Parkinson's Disease: 5 RCTs, 708 Patients, No Signal24:00 — Closing ThoughtsREFERENCES & SHOW NOTES:▸ Orforglipron FDA approval: https://www.fda.gov/drugs/novel-drug-approvals-fda/novel-drug-approvals-2026▸ Wegovy HD FDA approval: https://www.fda.gov/news-events/press-announcements/fda-approves-fourth-product-under-national-priority-voucher-program-higher-dose-semaglutide▸ Awiqli FDA approval: https://www.prnewswire.com/news-releases/fda-approves-novo-nordisks-awiqli-the-first-and-only-once-weekly-basal-insulin-treatment-for-adults-with-type-2-diabetes-302726839.html▸ Nissen SE et al. JAMA Cardiol 2026 — SURPASS-CVOT cardiorenal post-hoc: https://doi.org/10.1001/jamacardio.2026.0767▸ Nicholls SJ et al. N Engl J Med 2025 — SURPASS-CVOT primary: https://doi.org/10.1056/NEJMoa2505928▸ AACE 2026 T2D Algorithm: https://www.sciencedirect.com/science/article/pii/S1530891X26000224▸ Raza H et al. Brain Behav 2026 — GLP-1 RAs in Parkinson's: https://doi.org/10.1002/brb3.71344ABOUT THIS PODCAST:A weekly evidence-based review of the top stories in diabetes, obesity, thyroid, and endocrinology — modeled on Medscape's "This Week in Cardiology." New episodes every Thursday. For healthcare professionals.▸ Website: https://hormoneinsight.com▸ Full show notes: https://hormoneinsight.com/podcast️ This content is intended for healthcare professionals. It does not constitute medical advice for patients.#Endocrinology #DiabetesResearch #GLP1 #Orforglipron #Foundayo #WegovyHD #Semaglutide #InsulinIcodec #Awiqli #Tirzepatide #SURPASSCVOT #ObesityMedicine #Type2Diabetes #ClinicalTrials #EvidenceBasedMedicine #MedicalPodcast #HormoneInsight #EndocrinologyPodcast #Diabetology #CME #MedTwitter #DoctorsOfYouTube #InternalMedicine #Cardiology #CardiometabolicHealth #WeeklyInsulin #OralGLP1 #ParkinsonsDisease #AACE #PhysicianEducation

The Week in Diabetes and Endocrinology -- April 3, 2026

In this episode of Hormone Insight, we examine a 2024 post hoc analysis published in Diabetes Care.

In this episode of Hormone Insight, we examine a 2024 post hoc analysis published in Diabetes Care. 

Early Onset Type 2 Diabetes and Tirzepatide (SURPASS Post Hoc Analysis)

Exploring Semaglutide: Dual Action Therapy for Obesity and Heart FailureIn this episode of Hormone Insights, we delve into a 2024 study from the New England Journal of Medicine that examines the effects of semaglutide in obese patients with heart failure, preserved ejection fraction, and type 2 diabetes.  For full paper, <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2306963" rel="noopener noreferrer" target="_blank">click here </a> Visit <a href="https://hormoneinsight.com/pico/" rel="noopener noreferrer" target="_blank">HormoneInsight</a>

Exploring Semaglutide: Dual Action Therapy for Obesity and Heart FailureIn this episode of Hormone Insights, we delve into a 2024 study from the New England Journal of Medicine that examines the effects of semaglutide in obese patients with heart failure, preserved ejection fraction, and type 2 diabetes. For full paper, click here Visit HormoneInsight

Exploring Semaglutide: Therapy for Obesity and Heart Failure

In this episode of Hormone Insight, we delve into a major study published in The Lancet Diabetes and Endocrinology that compared the effects of semaglutide and canagliflozin as add-ons to metformin in diabetes treatment.  For more: <a href="https://hormoneinsight.com/semaglutide-versus-canagliflozin-in-blood-sugar-and-weight-control-for-type-2-diabetes/" rel="noopener noreferrer" target="_blank">Semaglutide vs Canagliflozin for Type 2 Diabetes</a> To read the <a href="https://www.thelancet.com/journals/landia/article/PIIS2213-8587(19)30311-0/abstract" rel="noopener noreferrer" target="_blank">original paper</a>

In this episode of Hormone Insight, we delve into a major study published in The Lancet Diabetes and Endocrinology that compared the effects of semaglutide and canagliflozin as add-ons to metformin in diabetes treatment. For more: Semaglutide vs Canagliflozin for Type 2 DiabetesTo read the original paper

Semaglutide vs Canagliflozin for Type 2 Diabetes

In patients with heart failure with preserved ejection fraction (HFpEF) and obesity, tirzepatide significantly reduced the composite risk of cardiovascular death or worsening heart failure and improved health status compared to placebo, though it was associated with higher gastrointestinal side effects. For summary, <a href="https://hormoneinsight.com/study-shows-tirzepatide-improves-heart-failure-outcomes-and-quality-of-life-in-obese-patients/" rel="noopener noreferrer" target="_blank">click here</a>. Packer M, Zile MR, Kramer CM, et al. (2024). “Tirzepatide for Heart Failure with Preserved Ejection Fraction and Obesity.” New England Journal of Medicine. DOI: <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2410027" rel="noopener noreferrer" target="_blank">10.1056/NEJMoa2410027 </a>

In patients with heart failure with preserved ejection fraction (HFpEF) and obesity, tirzepatide significantly reduced the composite risk of cardiovascular death or worsening heart failure and improved health status compared to placebo, though it was associated with higher gastrointestinal side effects.For summary, click here.Packer M, Zile MR, Kramer CM, et al. (2024). “Tirzepatide for Heart Failure with Preserved Ejection Fraction and Obesity.” New England Journal of Medicine. DOI: 10.1056/NEJMoa2410027 

Study Shows Tirzepatide Improves Heart Failure Outcomes and Quality of Life in Obese Patients

In patients with type 2 diabetes, intensive blood-pressure control (targeting systolic BP <120 mm Hg) significantly reduced cardiovascular events compared to standard treatment (systolic BP <140 mm Hg), though it was associated with increased risks of symptomatic hypotension and hyperkalemia.Bi, Y., Li, M., Liu, Y., et al. (2024). “Intensive Blood-Pressure Control in Patients with Type 2 Diabetes.” New England Journal of Medicine. <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2412006" rel="noopener noreferrer" target="_blank">doi:10.1056/NEJMoa2412006</a> For summary - <a href="https://hormoneinsight.com/intensive-blood-pressure-control-in-patients-with-type-2-diabetes/" rel="noopener noreferrer" target="_blank">click here</a>.

In patients with type 2 diabetes, intensive blood-pressure control (targeting systolic BP 

Intensive Blood-Pressure Control in Patients with Type 2 Diabetes

This episode explores the potential of semaglutide, a once-weekly GLP-1 analog, in managing type 2 diabetes. We examines a groundbreaking study published in Diabetes Care which found that semaglutide effectively reduces HbA1c levels and promotes weight loss in patients. The episode breaks down the study's findings, highlighting the dose-dependent effects of semaglutide and strategies for managing potential side effects. Tune in for insights into this promising new treatment option. Nauck, M.A., Petrie, J.R., Sesti, G. et al., 2016. A Phase 2, Randomized, Dose-Finding Study of the Novel Once-Weekly Human GLP-1 Analog, Semaglutide, Compared With Placebo and Open-Label Liraglutide in Patients With Type 2 Diabetes. Diabetes Care, 39(2), pp.231–241.<a href="https://doi.org/10.2337/dc15-0165" rel="noopener noreferrer" target="_blank" style="color: rgb(15, 93, 185);">https://doi.org/10.2337/dc15-0165</a>

This episode explores the potential of semaglutide, a once-weekly GLP-1 analog, in managing type 2 diabetes. We examines a groundbreaking study published in Diabetes Care which found that semaglutide effectively reduces HbA1c levels and promotes weight loss in patients. The episode breaks down the study's findings, highlighting the dose-dependent effects of semaglutide and strategies for managing potential side effects. Tune in for insights into this promising new treatment option.Nauck, M.A., Petrie, J.R., Sesti, G. et al., 2016. A Phase 2, Randomized, Dose-Finding Study of the Novel Once-Weekly Human GLP-1 Analog, Semaglutide, Compared With Placebo and Open-Label Liraglutide in Patients With Type 2 Diabetes. Diabetes Care, 39(2), pp.231–241.https://doi.org/10.2337/dc15-0165

Phase 2 trial on Semaglutide

Discuss Diabetes and Endocrinology studies in a simplified manner. Expand your knowledge in Diabetes and Endocrinology.

Discuss Diabetes and Endocrinology studies in a simplified manner. Expand your knowledge in Diabetes and Endocrinology.

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