33 Years on Insulin, Gone in a Week: My Health Revolution of 2025

33 Years on Insulin, Gone in a Week: My Health Revolution of 2025 

Category: Personal Journey / Health Technology 

Date: December 31, 2025

Disclosure: I have no financial interest, affiliation, or commercial relationship with Tracky, Eli Lilly (manufacturer of Mounjaro), Apple, or any other companies mentioned in this article. All products and medications discussed were purchased by me for personal use. I am sharing this story purely out of excitement for the results I have experienced and to share knowledge with the medical community and patients.D

Introduction: The Long Road

If you had told me in 1992 that I would one day live without my daily insulin injections, I would have told you it was medically impossible.

I was diagnosed with diabetes at the age of 29. I am now 62. For over three decades—more than half my life—my daily routine has been dictated by blood sugar levels, needles, and the constant fear of hypoglycemia.

But the second half of 2025 brought a convergence of technology and pharmacology that didn't just improve my condition—it completely rewrote my medical history. Here is the story of how three specific innovations gave me my life back.

The Struggle: From Porcine to Human Insulin

My journey began in an era that young doctors today might find archaic. In 1992, the only formulation available was Porcine (pig) insulin. My body rejected it; I developed severe allergies. We switched to Bovine (cow) insulin, but my body fought that too, developing severe insulin resistance.

It wasn't until 2000 that Human insulin became available, offering me some stability. I did everything "right." I practiced yoga, modified my lifestyle, and exercised religiously. Yet, maintaining control was a battle.

From 2010 onwards, I checked my blood glucose (GRBS) twice a day to titrate my insulin. Despite this, my HbA1c hovered stubbornly between 7.5 and 8.5. I was taking massive doses—escalating to 40-50 units in the morning and evening, plus oral medications. I lived with the constant seesaw of post-prandial (after eating) spikes and dangerous nocturnal hypoglycemia.

I was managing the disease, but I wasn't winning. Until August 2025.

1. The Eye-Opener: Continuous Glucose Monitoring (CGM)

In August 2025, I decided to purchase a CGM from Tracky. That small sensor made a massive difference.

For years, we doctors have relied on Fasting Blood Sugar (FBS) and Post-Prandial Blood Sugar (PPBS) as the "gold standards." My experience with CGM taught me that relying on these spot checks is, frankly, foolish. They miss the movie because they are only looking at two snapshots.

Reading on 31-12.2025 at 1.20pm 
HbA1C-4.59%

The real-time data from the CGM gave me actionable insights. I saw exactly which foods caused rapid spikes. I understood the precise timing of my insulin requirements. By following the data, I reduced my insulin and brought my HbA1c below 6.5 for the first time in

Tracky receiver on my arm 

2. The Miracle: Tirzepatide (Mounjaro)

While the CGM gave me control, a new molecule gave me freedom.

Late this year, I began researching Tirzepatide (Mounjaro). While it has become famous globally for weight loss, its primary indication is Type 2 Diabetes. I consulted with Dr. Vimal, an expert in endocrinology, and cross-checked with trusted colleagues. The reviews were overwhelmingly positive.

I took my first weekly injection in the first week of December. The results were immediate and startling.

Before I could even take my second dose, I stopped my insulin.

Read that again. The insulin I had relied on for over 30 years was no longer necessary. My CGM currently projects my HbA1c to be below 5, a non-diabetic range. My weight has optimized to 70 kg (down from 75kg earlier this year). It feels like a biological reset.

3. The Companion: iPhone 17 Pro Max & AI

To navigate this new chapter of health, I needed technology that could keep up. I have been an Apple user since the iPhone 6 era, moving from the 13 Pro to the newly released iPhone 17 Pro Max.

With the integration of AI, this phone has become my dedicated health companion. It is no longer just about communication; it is about bio-feedback. The synergy between the Health app, Sleep app, ECG, and the Snore detection features gives me a holistic view of my recovery. It monitors the quality of the sleep I am finally getting now that I don't fear nocturnal hypoglycemia.

Conclusion: A New Lease on Life

As I step into 2026, I am not just a doctor treating patients; I am a testament to the speed of medical advancement.

It took a combination of Data (CGM), Pharmacology (Tirzepatide), and AI (iPhone 17) to undo 33 years of chronic illness. To my patients and colleagues: never stop looking for better solutions. The tools to reclaim our health are finally here.

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Dr. Venugopalan P.P Emergency Medicine | ANGELS Initiative www.docvenu.com

A new space for the next chapter

​This new space is more than just four walls and a desk; it is a curation of my life’s journey. Surround me here are the echoes of the last 25 years—tangible memories, lessons learned, and the milestones that have defined my path.

But this room isn't a museum; it is a workshop for the mind. It is a dedicated sanctuary of silence where I can sit peacefully, away from the noise of the world. Here, amidst the comfort of the past, I find the focus to read deeply, write with clarity, and prepare for what lies ahead. It is the grounding point where the wisdom of yesterday meets the potential of tomorrow.

https://www.docvenu.com/gallery/#newoffice

​Empowering the Frontlines: Reflections on the "Compassion in Crisis" Trauma Workshop

​Empowering the Frontlines: Reflections on the "Compassion in Crisis" Trauma Workshop

I had the privilege of serving as the designer and faculty for a high-intensity, one-day Trauma Emergency Workshop at Malabar Medical College (MMC), Ulliyeri.

Simulation-based training is the heartbeat of modern trauma care. We hosted 44 enthusiastic RNs and paramedics from across Kerala (Calicut, Vatakara, Palakkad, Malappuram) and Coimbatore for a deep dive into 10 life-saving skills—ranging from Tube Thoracostomy and Hemorrhage Control to SBAR Communication.

Highlights of the Day:

• Hands-on Mastery: Intensive stations in the MMC Simulation Lab.

• Expert Mentorship: Collaborating with a veteran faculty team (10+ years exp) including Dr. Sudha Anil, Dr. Sajith Kumar, Dr. Firoz, and Dr. Shafin , Soumya , Bibin , Soniya , Varun and other nursing educators. 

• Quality Assurance: Validated through 360-degree feedback and pre/post-testing.

A special thanks to the MMC Chairman Mr. Anil Kumar and Principal Dr. P.V. Narayanan for their leadership. This program was a testament to the synergy between the MMC Nursing College and Nursing Department, led by coordinators Ms. Leelamma, Jorly,Soniya, and Varun.

A heartfelt shoutout to Dr. Sudha Anil (MD, MMC)—the true "live wire" whose unwavering support made this vision a reality.

#TraumaCare #MedicalEducation #NursingSimulation #EmergencyMedicine #CompassionInCrisis #MMC #HealthcareTraining

ATLS course reflections

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📝 ATLS Course Faculty Reflection

This reflection note summarizes my experience as a guest attendee/faculty member at the ATLS (Advanced Trauma Life Support) Course held at the Aster Simulation Center in Kozhikode, conducted under the auspices of ATLS India.

Course Experience and Structure

It was a pleasure to attend this ATLS course, resuming my association as faculty, a role I have held since 2009. The course continues to be a well-conducted, well-structured, and focused educational experience. It consistently provides an excellent opportunity for interaction for both students and faculty.

The two-and-a-half-day format is highly effective, ensuring that students receive ample opportunity to learn the essential principles of managing a polytrauma case, even in limited resource settings.

Faculty and Leadership

The course was expertly directed by Dr. Radesh Numbair in Kozhikode. He was supported by a highly capable team of faculty members, including Drs. Jinesh, Johnson, Nirmal Peter, and Kirishbakumar. Their combined expertise ensured a high-quality learning environment.

Nostalgia and Center Legacy

Attending this course was a deeply nostalgic experience. The Aster Simulation Center in Kozhikode is a facility that I had the privilege of establishing, and it stands as my last project with Aster before my departure. Seeing the center actively hosting such a critical course was immensely gratifying.

Delegate Participation

The course delegates were outstanding. Their participation, interactions, and performance were excellent, demonstrating a strong commitment to learning the vital skills necessary for trauma care.

This ATLS course at the Aster Simulation Center successfully upheld the high standards of the program, reflecting strong leadership and dedicated faculty, all while training a highly motivated cohort of future trauma care providers.

Reflections : World Resuscitation Congress (WRC) 2025 Date: December 6 & 7, 2025

Location: Courtyard by Marriott, Madurai

Organizers: Indian College of Emergency Medicine (ICEM) and Meenakshi Mission Hospital

1. Event Overview

The World Resuscitation Congress (WRC) 2025 was held successfully on December 6th and 7th in Madurai, preceded by a comprehensive series of pre-congress workshops on December 4th and 5th. Organized jointly by the Indian College of Emergency Medicine and Meenakshi Mission Hospital, the event served as a global convergence point for Emergency Medicine (EM) professionals.

The congress attracted significant global participation, with faculty and delegates arriving from various countries and prestigious national institutes, including strong representation from various AIIMS campuses.

2. Leadership and Organization

The success of this congress is a direct reflection of the commitment and tireless efforts of Dr. Narendra Jena. Truly the "live wire" of the event, Dr. Jena’s magnanimity and deep connection with both the medical fraternity and the government were evident throughout. As one of the most respected figures in Tamil Nadu, his ability to spread awareness regarding Emergency Medicine in Madurai is commendable.

Key organizational highlights included:

 * Inauguration: The event was inaugurated by the Honorable IT Minister of Tamil Nadu in a function that was crisp, impactful, and well-received.

 * Scientific Leadership: Dr. Yunus from AIIMS served as the Chair of the Scientific Session, ensuring high academic standards. The scientific sessions were split into two streams, meticulously coordinated by Dr. Nancy.

 * Event Management: Mr. Rajalingam expertly managed the logistics, ensuring a hassle-free experience for delegates despite the complexity of the event.

3. Academic and Clinical Highlights

The congress provided a rich academic feast, highlighted by:

 * Workshops: Intensive pre-congress workshops on Airway and Ventilation, POCUS,Emergency skills , ACLS updates ,Pediatric EM and many more

 

 * Convocation: A significant milestone was the convocation ceremony for fellowship students in Neuro Emergency and Clinical Toxicology, marking the next generation of specialists in these critical fields.

4. Personal Contributions and Acknowledgments

I leave Madurai with a heart full of happiness and gratitude for the opportunities entrusted to me by Dr. Jena and the committee. My personal milestones during the WRC included:

 * Leadership Roles: Serving as the Vice Chairman of the Organizing Committee and Director for the Airway and Ventilation workshops.

 * Speaking Engagements: I had the privilege of being the Opening Speaker in the main hall, delivering a talk on “Emergency Vehicle Involved Accidents and Consequences,” which was well-appreciated by the audience.

 * Ceremonial Duties: Facilitating the workshop inauguration session and the Convocation ceremony.

Awards and Recognition:

The highlight of my professional participation was being honored by the Indian College of Emergency Medicine with the prestigious Presidential Special Appreciation Award during the banquet. I am deeply humbled by this recognition.

5. Resilience in the Face of Challenges

The event was not without external challenges. The ongoing air travel disaster involving Indigo services resulted in many speakers and delegates being clogged up in various airports. However, the resilience of the organizing team shone through; they managed the schedule and logistics remarkably well, ensuring the congress proceeded smoothly despite these disruptions.

6. Hospitality

The hospitality provided by Dr. Jena and his team was unforgettable. The faculty dinners were memorable, and the colorful banquet served as a perfect social highlight, fostering camaraderie among the delegates.

Conclusion

The WRC 2025 was a triumph of organization, academic depth, and hospitality. It stands as a testament to Dr. Narendra Jena’s hard work and vision. I wish Dr. Jena continued happiness and health in his personal and professional life, and I pray he continues his invaluable service to the nation.

Unforgettable Memories from the AHA 2025 Rollout

​Unforgettable Memories from the AHA 2025 Rollout

Dear Team,

I wanted to take a moment to express my heartfelt gratitude for the incredible one-and-a-half days we spent together at the Park Inn for the AHA 2025 Guidelines Rollout on Dec 2nd and 3rd.

The event was truly outstanding—from the amazing hospitality to the well-contented scientific sessions and the thought-provoking discussions that followed. But beyond the academics, it was the "extra-curricular" moments that carved this meeting into my heart forever.

The pre-meet faculty gathering in Srimon’s room set the tone, followed by an unforgettable Day 1 "Funky Music Night"—transitioning from the soulful melodies of Rafi Sahib to ground-breaking fast rhythms, accompanied by great food and beverages.

A special mention to the homely evening party at Sachin’s home on the last day. Meeting Sachin’s father was a touching highlight that added such a sweet, personal layer to the trip.

A massive thank you to Marida, Sachin, Biswas, Srimon, Anoop, and our “shy” movie producer for making this happen.

I am leaving Trichur not just with a bag full of special keepsakes (the AHA pin, pen, diary, and even that lovely carry bag!), but with a heart full of memories and a mind full of new thoughts.

Thank you all for making this RF meeting outstanding.

Lovingly 

DrVenu

A Reflection from the Heart – സഫലമീ യാത്ര (IMACON 2025 Memorial Service)

സഫലമീ യാത്ര - Full video

 IMACON 2025, the Kerala State IMA Conference, held at the Malabar Marina Convention Centre, Calicut, on November 8th and 9th, 2025, was a truly memorable and well-organized event.

With more than 3,500 delegates from across Kerala, the conference radiated excellence in every aspect — from its elegant venue and flawless audiovisual arrangements to the spectacular food, smooth transport facilities, and a breathtaking banquet on the banks of the serene Chaliyar River.

The event also showcased a beautifully arranged trade fair, with creative engagements for spouses and children, including live caricature sessions and art corners.
Scientific deliberations were held across three halls, marked by remarkable coordination, quality content, and disciplined conduct. The conference kit and the official functions stood out for their attention to detail and grace — a true reflection of the dedication of the organizing team led by Dr. V. G. Pradeep Kumar, Dr. Aneen Kutty, Dr. Venugopalan B, Dr. Sankar Mahadevan, Dr. Sandhya Kurup, Dr. Roy R. Chandran, and many others whose tireless work made IMACON 2025 a grand success.

From the Preview at the IMA Hall 

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The Memorial Service – A Tribute of Love and Devotion

Opening remarks 

I had the honor of serving as the Chairman of the Memorial Service Committee, entrusted with curating and presenting the most prestigious segment of the IMA State Conference — the Memorial Service.

It was not just a task; it was an act of devotion, an offering of gratitude to our departed colleagues — 110 doctors who left us in the past year.
Each name carried a story, a legacy, and a lifetime of service. The process of collecting, compiling, scripting, dubbing, and editing their biographies into a single emotional narrative was indeed a herculean effort, but one that I pursued with utmost passion, reverence, and care.

Scribbled scripts

This emotionally charged project was supported by a dedicated team — Dr. Baby Supriya, Mr. Mithun Sasi, Dr. T. P. Naser, Dr. Dhanya P. G., Dr. Madhavan Nambiar, Dr. K. V. Raju, Dr. Jithin, Dr. Sheeba, and several others who ensured that every detail was handled with accuracy and respect.

Ms. Nishwa helped me relentlessly in data collection from multiple IMA branches across Kerala.

The dubbing was gracefully done by Mr. Bobby C. Mathew (Senior Artist, All India Radio) and Mrs. Nisha M. Nambiar, whose sincere and heartfelt voices gave life to the script.
Amidst his hectic schedule, Dr. V. G. Pradeep Kumar also recorded a deeply moving introduction for the program, titled “Saphalamee Yathra” — a name that beautifully captured the spirit of fulfillment and service.

The team at UNITY Studio, Calicut, led by Mr. Biju, worked day and night for an entire week, completing the post-production and editing process with remarkable dedication. We conducted two preview sessions to ensure perfection before the final presentation.
Special thanks also to Dr. Mithun Sasi for coordinating the video shoots from Beach Hospital, adding a genuine and personal touch to the film.

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A Journey Through Emotion and Realization

What began as a formal task soon transformed into a profound realization — the contributions of our predecessors are immense and immeasurable.
As I delved deeper, it became evident that many of our departed colleagues were from the Kerala Government Health Services, and a significant number had passed away prematurely.
This revelation added even more weight to the responsibility I carried.

Beloved Cheriyamma

On a personal note, this period tested my emotional resilience in unimaginable ways.

My beloved Cheriyamma, who was more than a mother to me, passed away just a day before the memorial program.
I arrived at the venue after completing her funeral — even before the flames in the furnace had subsided.

She had once saved my life when I nearly drowned during my MBBS days and cared for me tenderly throughout my childhood.
As fate would have it, the closing visuals of the memorial video — scenes of farewell and remembrance — mirrored the very emotions I was living through.
The presentation that evening was not just a tribute; it was a deeply personal act of love and grief.

This photo was taken during this onam when we visited her 

The sorrow intensified as I honored the memories of my great mentors and teachers —

Dr. P. C. Esaw, Dr. K. C. Rajagopal, Dr. Badran, and Dr. George Itty —
and most painfully, my dear friend and classmate, Dr. Krishnakumar P.
Each name spoken was a heartbeat remembered, and each frame edited carried a prayer.

Obituary note  on Krishnakumar P

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The Imperfect But Honest End

Despite my repeated verifications and endless nights of cross-checking, I later discovered that one doctor from the IMA Punoor branch had been inadvertently omitted from the final compilation.
It remains a mystery how it escaped, though the data was personally handed over in writing.
To this day, I have no explanation — only deep regret and heartfelt apologies for that unintentional omission.

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Closing Thoughts

The IMACON 2025 Memorial Service was not just a segment of a conference —

it was a spiritual journey through memory, gratitude, and loss.
It taught me that remembrance is not just about mourning the departed,
but about celebrating lives that continue to inspire us long after they’re gone.

It was my honor to lead this tribute —
and though the days were heavy with emotion,
the experience reaffirmed my belief that compassion and memory are the truest forms of healing.

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