Eli Lilly's weight loss drug slashes the risk of developing diabetes by 94%

Does the drug itself cause the risk reduction, or is it the weight loss? Or also, if you're less hungry, are you eating less high-carb junk?

I'm not saying people shouldn't take these drugs.

These questions come to me because of my own anecdata. I'm a T2 diabetic, using metformin and Trulicity, a similar GLP-1 drug.

Six or seven months ago, for reasons, I stopped taking Trulicty, with no lifestyle changes. My daily blood sugar tests went up, no surprise. Started Trulicity again.

About three months ago I found it really difficult to find Trulicity. There are shortages, combined with my 48 state truck driving job, where my pharmacy is whatever Walmart I happen to be near that allows truck parking.

I flipped the fuckit bit, went on a diet that i mostly follow, do some exercise, and diligently watch carbs and calories.

I've lost a lot of weight - I was on the low end of BMI obese, now I'm closing in on the high end of BMI normal.

My blood sugar self tests are as good as they ever were when i was first diagnosed and stabilized on metformin. Haven't had an A1C test yet.

This is not an "If I can do it so can they" screed. Take the drug if you need it, it has benefits.

My personal anecdote of one makes me question, where the article is not clear: is the risk reduction from the drug itself, or from its intended effects?