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GLP-1 Decoder

Mounjaro and Insulin: Is It Safe? Label, Studies

Low blood sugar is more likely with insulin; your doctor may lower the insulin dose.

Verdict
Fine with care
Label says
Listed interaction

Check a GLP-1 interaction

A quick look at Mounjaro

How long it remains in your body
100%50%25%0%05 d10 d15 d20 d25 d50%25%12.5%time after the dose

The half-life runs about 5 days. After 5 d, half is gone; about 3% is left at five half-lives (25 d).

Weight loss in the main trial
Mounjaro (SURPASS-1)7.8 kgPlacebo1 kg

In SURPASS-1, people with type 2 diabetes lost 7.8 kg over 40 weeks, compared with 1 kg on placebo.

Prices over time
2026$1,112.16$0List priceSelf-pay

Monthly prices in US dollars cover the list price and self-pay offers, each taken from the maker's price page.

Sources: FDA label (DailyMed), healthsystemtracker.org, pricinginfo.lilly.com.

Mounjaro and insulin: the verdict

Fine with care

The Mounjaro label's drug interactions section uses these exact words:

“When initiating MOUNJARO, consider reducing the dose of concomitantly administered insulin secretagogues (e.g., sulfonylureas) or insulin to reduce the risk of hypoglycemia [see Warnings and”

The source is the FDA DailyMed label.

Mounjaro's label: what it says

Insulin is covered by these Mounjaro label lines.

Interactions the Mounjaro label lists
Named in the labelThe riskWhat the label tells doctors
Insulin or sulfonylureasLow blood sugarCombining it with insulin or a sulfonylurea, for example glipizide or glimepiride, raises the chance of low blood sugar. Your doctor may then reduce those doses.

This information comes from the Mounjaro label (DailyMed).

What the studies show

The source is the FDA DailyMed label.

The practical rule

  1. Start testing your blood sugar more often when you begin treatment or change doses.
  2. In the first weeks and after each dose increase, check blood sugar more often.

The source is the FDA DailyMed label.

Insulin with other GLP-1s

For the same issue, the drug interaction section of every label was checked.

Insulin across GLP-1 labels
MedicineInsulin in the labelVerdictPage
OzempicNamed in the labelFine with careRead the answer
WegovyNamed in the labelFine with careRead the answer
RybelsusNamed in the labelNot listedNot listed
MounjaroNamed in the labelFine with careNot listed
ZepboundNamed in the labelFine with careRead the answer
FoundayoNamed in the labelNot listedNot listed
TrulicityNamed in the labelFine with careRead the answer
SaxendaNamed in the labelNot listedNot listed
VictozaNamed in the labelFine with careRead the answer
ByettaNamed in the labelNot listedNot listed

The source is the FDA DailyMed label.