Trulicity in London, Ontario: Once-Weekly Dulaglutide for Type 2 Diabetes From an Ontario Physician
Trulicity (dulaglutide) is a once-weekly injectable GLP-1 receptor agonist approved by Health Canada for the management of type 2 diabetes and to reduce the risk of major cardiovascular events in adults with type 2 diabetes. TelePlus Care connects London-area patients with a licensed doctor for a virtual consultation that assesses your suitability, reviews your bloodwork, and — when appropriate — issues a prescription you fill at any London pharmacy, from the Shoppers Drug Mart downtown to a Rexall or pharmacy in Byron, Masonville, Oakridge, or Westmount. We serve patients across the Forest City and surrounding Middlesex County.
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Trulicity (dulaglutide) is a once-weekly GLP-1 injection approved by Health Canada for type 2 diabetes and to lower cardiovascular risk in adults with the condition. It requires a prescription after a clinical assessment. TelePlus Care provides virtual London consultations with a licensed doctor and issues prescriptions you fill at any local pharmacy.
- Trulicity is the brand name for dulaglutide, a once-weekly injectable GLP-1 receptor agonist.
- Health Canada has approved Trulicity for the management of type 2 diabetes (glycemic control).
- Trulicity is also indicated to reduce the risk of major cardiovascular events in adults with type 2 diabetes.
- Trulicity is not approved in Canada for weight loss; modest weight reduction may occur as a secondary effect.
Clinical content is reviewed for accuracy and scope. TelePlus Care appointments proceed only when clinically appropriate after a real assessment, and the doctor will explain the next step if virtual care is not the right fit.
What Is Trulicity and How Does It Work?
Trulicity contains dulaglutide, a GLP-1 (glucagon-like peptide-1) receptor agonist. It mimics a natural gut hormone that prompts the pancreas to release insulin when blood sugar is high, slows the rate at which the stomach empties, and reduces the liver's output of glucose. These combined actions help adults with type 2 diabetes improve their blood-sugar control. Trulicity is given as a once-weekly subcutaneous injection using a single-use, pre-filled pen that most London patients self-administer at home on the same day each week. Some people also see modest weight reduction, but in Canada Trulicity is prescribed for diabetes management rather than for weight loss.

Who Might Be Suitable for Trulicity in London?
Trulicity is intended for adults with type 2 diabetes, usually as part of a wider plan that includes diet, physical activity, and sometimes other medications such as metformin. Your licensed doctor will determine whether it is right for you.
- Adults with a confirmed diagnosis of type 2 diabetes.
- People whose blood sugar is not well controlled on lifestyle measures alone or on existing oral medication.
- Adults with type 2 diabetes who also have established cardiovascular disease or risk factors, where reducing cardiovascular risk is a goal.
- No personal or family history of medullary thyroid carcinoma or MEN 2 syndrome.
- No history of pancreatitis.
- Not currently pregnant or breastfeeding; discuss family planning with your doctor.
- Trulicity is not used for type 1 diabetes or diabetic ketoacidosis.

The Virtual Consultation Process at TelePlus Care
London patients complete the assessment virtually with a licensed doctor. Each prescription is documented and can be shared with your family doctor on request. We don't dispense medication — we issue prescriptions you fill at any London pharmacy.
- Step 1: Book online — most London patients secure a same-day or next-business-day appointment.
- Step 2: Complete an intake form covering your diabetes history, current medications, blood-sugar readings, and other health conditions.
- Step 3: Secure video consultation with your licensed doctor.
- Step 4: Bloodwork review or a new requisition if your labs are out of date.
- Step 5: If Trulicity is appropriate, a prescription is issued for any London pharmacy. Your doctor will explain the weekly injection routine.
- Step 6: Follow-up visits to monitor blood sugar, manage any side effects, and adjust your overall diabetes plan.

Recommended Bloodwork Before Starting Trulicity
Before starting a GLP-1 medication, your doctor will usually want recent blood tests to confirm your diabetes status and check organ function. LifeLabs and Dynacare collection sites are available across London — including near Masonville Place, downtown, Westmount, and Oakridge — so your requisition can be sent to a site convenient for you.
- HbA1c — to confirm diabetes control and provide a baseline for monitoring.
- Fasting plasma glucose.
- Kidney function — eGFR and serum creatinine.
- Liver enzymes — ALT and AST.
- Lipid profile — total cholesterol, LDL, HDL, triglycerides.
- TSH if thyroid issues are suspected.
- Pregnancy test for women of reproductive age where relevant.

access and next steps in London
A licensed doctor reviews your intake before the visit and explains the safest next step. — appointment details are reviewed before booking. The medication itself is handled separately at your pharmacy. Your doctor reviews your history, recent results, medication safety, and follow-up needs before deciding whether virtual care fits your situation.
- TelePlus Care consultation: clear appointment steps before booking.
- Trulicity is dispensed at your pharmacy and handled separately from the consultation.
- Local pharmacy pathway: restricted to simple cases; virtual doctor care is available when a doctor assessment is needed
- Your pharmacist can confirm medication-specific next steps.
- Bring your prescription information and any plan documentation to your pharmacy so the team can review access requirements.

Side Effects of Trulicity
Trulicity has the side-effect profile common to GLP-1 medications. Most effects are mild to moderate, appear early, and ease over the first few weeks as your body adjusts.
- Nausea — the most common effect, usually temporary.
- Diarrhea, indigestion, or constipation.
- Vomiting or reduced appetite.
- Injection site reactions — minor redness or itching.
- Low blood sugar (hypoglycemia), particularly if you also take insulin or a sulfonylurea.
- Rare: pancreatitis — severe abdominal pain that may radiate to the back; stop the medication and seek urgent care at London Health Sciences Centre (Victoria Hospital or University Hospital) or the nearest hospital emergency department.
- Rare: gallbladder problems including gallstones.
- Rare: allergic reactions; seek immediate care for swelling, rash, or difficulty breathing.

How Trulicity Compares to Other Diabetes Medications
Trulicity is one of several GLP-1 receptor agonists used in type 2 diabetes. Your doctor will weigh blood-sugar control, cardiovascular benefit, dosing convenience, and tolerability when recommending a treatment.
- Trulicity (dulaglutide) — once-weekly injection; established cardiovascular risk-reduction indication in type 2 diabetes.
- Ozempic (semaglutide) — once-weekly injection also used for type 2 diabetes; different dosing pen.
- Victoza (liraglutide) — a daily GLP-1 injection for type 2 diabetes.
- Metformin — a common first-line oral medication often used alongside or before a GLP-1.
- The best choice depends on your individual health profile and is decided with your licensed doctor.
Why London Patients Choose TelePlus Care for Trulicity
TelePlus Care offers London-area adults timely, evidence-based access to type 2 diabetes care through a licensed doctor who follows Diabetes Canada guidelines. We don't dispense medication — we issue prescriptions you fill at any London pharmacy, whether that's a Shoppers Drug Mart downtown, a Rexall in Oakridge, or a community pharmacy in Byron, Masonville, or Westmount. Same-day virtual visits, transparent upfront appointment steps, lab requisitions, and structured follow-ups are standard.

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