Type 2 diabetes remission in 8 months on Mounjaro — A1C from 9.1 to 5.7.
Sandra K., 49 · California · 8 months on Mounjaro
Weight lost
35 lbs
18.1% of starting weight (193 → 158 lbs)
Duration
8 mo
Avg 4.4 lb/month
Patient rating
5.0/5
A1C improvement
9.1 → 5.7
Significant reduction
Sandra K.'s Mounjaro journey, in their words
Type 2 diagnosed at age 41. Metformin for 6 years held my A1C around 7.2-7.8. Added Ozempic at 0.5mg in 2024, titrated to 1mg. A1C dropped from 7.6 to 7.1 but never below. My endo recommended switching to Mounjaro because of the SURPASS-2 data showing superior A1C reduction. Insurance required Ozempic step therapy documentation (already had it) so PA approved immediately.
Started Mounjaro 2.5mg one week after last Ozempic shot. Titrated to 5mg at month 1, 7.5mg at month 3, settled at 10mg for maintenance. The A1C drop was faster than I expected. Month 3 lab: A1C 6.4. Month 6: 5.9. Month 8: 5.7. My endocrinologist called it remission and recommended I stay on the same dose. Weight loss came as bonus — 35 pounds across 8 months. I wasn't trying to lose weight, but eating dropped naturally to maybe 60% of what it was before.
What I wish I knew earlier: SURPASS-2 data is very specific about the A1C delta vs Ozempic. If your A1C isn't getting below 7 on max Ozempic, ask about switching before you hit a year on Ozempic 1mg. The savings card kept my copay at $25/month for the first 12 months — second year I'll renew or pay $150/month. Worth every dollar.
What worked
A1C 9.1 → 5.7 (remission territory)
35 pounds bonus weight loss in 8 months
PA approval immediate (had Ozempic step documented)
Slow titration prevented severe GI side effects
What was hard
Constipation worse than on Ozempic — required daily fiber + stool softeners
Lab monitoring every 3 months adds cost + appointment time
Savings card 12-month limit looming
Sandra K.'s advice to others
If you have T2D and your A1C is not below 7 on max-dose Ozempic, ask your endocrinologist about Mounjaro. The SURPASS-2 head-to-head data is the right insurance argument. Document your Ozempic step therapy carefully for PA.
Story verification
Editorial verification by Sarah Nguyen, MD on April 18, 2026. Patient consent obtained; name pseudonymized for privacy. Lab values and timelines confirmed against medical records. Read our editorial methodology.