HealthRX.com · Printable lab tracker
Ozempic blood-test record: A1c, fasting glucose, kidney, liver and pancreatic enzymes
Write down your starting values before the first Ozempic dose, then add each blood draw with the dose you were on that week. It keeps the label's reference points beside your own numbers so the next conversation starts from the trend.
Before the first dose
Date Ozempic started, and the productbrand pen, or a compounded preparation
Starting A1c and fasting glucose
Starting creatinine and eGFR
Starting ALT and AST
Starting triglycerides, LDL and HDL
Other diabetes medicinesmetformin, sulfonylurea, insulin, other
Each blood draw
Note whether you were fasting and whether you had vomiting or diarrhea that week.
| Draw date | Ozempic dose | A1c | Fasting glucose | eGFR | ALT | Lipase | Triglycerides | Fasted? Sick that week? |
|---|---|---|---|---|---|---|---|---|
Reference points from the Ozempic label
- In the six glycemic trials, HbA1c fell 1.2 to 2.1 points on average from starting values of about 8 to 8.9%.[1]
- Fasting glucose fell 28 to 59 mg/dL on average with Ozempic across the same trials.[1]
- Lipase rose 22% and amylase 13% on average with Ozempic in placebo-controlled trials; placebo groups did not show these rises.[1]
- With a sulfonylurea, severe or glucose-confirmed low blood sugar occurred in 6.5% on 0.5 mg and 10.4% on 1 mg; lowering the sulfonylurea or insulin dose can be considered at the start.[1]
- Most reported kidney injury on semaglutide followed dehydration from nausea, vomiting or diarrhea.[1]
Do not wait for the next lab draw if you have
- Severe stomach pain that will not go away, sometimes spreading to the back, with or without vomiting.[1]
- Low blood sugar signs such as dizziness, blurred vision, sweating, confusion or shakiness, especially if you also take insulin or a sulfonylurea.[1]
For the next review
- Which tests do you want, and how often, while my dose is changing?
- Should my sulfonylurea or insulin dose come down?
- Is this creatinine change from fluid loss, muscle loss or my kidneys?
- Is my lipase rise the kind the label describes, or does it need more checks?
- Do I need calcitonin or thyroid tests, given my family history?
Sources for the facts on this sheet
- Novo Nordisk, via DailyMed. Ozempic (semaglutide) injection, for subcutaneous use: prescribing information and Medication Guide. Effective 2026-06-01. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=adec4fd2-6858-4c99-91d4-531f5f2a2d79
This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.