Trulicity in Saint John: Once-Weekly Dulaglutide for Type 2 Diabetes From a New Brunswick Physician
Trulicity (dulaglutide) is a once-weekly injectable GLP-1 receptor agonist that Health Canada has approved to improve blood-sugar control in adults with type 2 diabetes and to reduce the risk of major cardiovascular events in those who also have established heart disease or risk factors. TelePlus Care connects Saint John-area patients with a licensed doctor for a virtual assessment, reviews your recent bloodwork, and — when clinically appropriate — issues a prescription you fill at any local pharmacy, from a Shoppers Drug Mart uptown to a Jean Coutu in Millidgeville or a pharmacy in the East Side, the West Side, or near Mc Allister Place. We serve patients across Saint John and the wider region, including Rothesay, Quispamsis, and Grand Bay-Westfield.
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Trulicity (dulaglutide) is a once-weekly GLP-1 injection approved by Health Canada for type 2 diabetes blood-sugar control and to reduce cardiovascular risk in adults with type 2 diabetes. It is not approved for weight loss in Canada. TelePlus Care offers Saint John patients virtual consultations with a licensed doctor and a prescription you fill at any New Brunswick pharmacy. A licensed doctor reviews your intake before the visit and explains the safest next step.
- Trulicity is the brand name for dulaglutide, a once-weekly subcutaneous GLP-1 receptor agonist.
- Health Canada approves Trulicity to improve glycemic control in adults with type 2 diabetes.
- Trulicity is also approved to reduce the risk of major cardiovascular events in adults with type 2 diabetes and established cardiovascular disease or risk factors.
- Trulicity is not approved in Canada for weight loss or obesity; modest weight reduction may occur as a secondary effect but is not the treatment goal.
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 supports your body's natural glucose regulation: it stimulates the pancreas to release insulin when blood sugar is elevated, reduces sugar production by the liver, and slows how quickly the stomach empties. For adults with type 2 diabetes, these combined effects help lower HbA1c and smooth out daily blood-sugar levels. Trulicity is taken as a once-weekly subcutaneous injection using a pre-filled pen that most Saint John patients self-administer at home on the same day each week.

Who Might Be a Candidate for Trulicity in Saint John?
Trulicity is prescribed for adults with type 2 diabetes following a clinical assessment. A licensed doctor will review your diagnosis, current medications, and cardiovascular history to determine whether dulaglutide suits your treatment plan, generally following Diabetes Canada guidance.
- Adults with a confirmed diagnosis of type 2 diabetes who need additional blood-sugar control.
- Patients who may prefer a once-weekly injection over a daily medication.
- Adults with type 2 diabetes plus established cardiovascular disease or risk factors who may benefit from cardiovascular risk reduction.
- 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 for diabetic ketoacidosis.

The Virtual Consultation Process at TelePlus Care
Saint John patients complete the assessment virtually with a doctor licensed to practise in your province or territory. Each prescription is documented and shared with your family doctor on request. We don't dispense medication — we issue prescriptions you fill at any Saint John pharmacy.
- Step 1: Book online — most Saint John patients secure a same-day or next-business-day appointment.
- Step 2: Complete an intake form covering your diabetes history, current medications, and cardiovascular risk factors.
- Step 3: Secure video consultation (15-25 minutes) with your licensed doctor.
- Step 4: Bloodwork review or a new requisition if your labs are older than 12 months.
- Step 5: When appropriate, a prescription is issued for any Saint John pharmacy, with guidance on the weekly injection routine.
- Step 6: Structured follow-ups to monitor blood sugar, tolerability, and overall progress.

Recommended Bloodwork Before Starting Trulicity
Standard practice is to review recent metabolic and organ-function labs before starting dulaglutide. Your doctor reviews medication options, pharmacy steps, and follow-up needs during the appointment. Your doctor can send a requisition to a site near you.
- HbA1c — confirms glycemic control and establishes 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.
- Pregnancy test for women of reproductive age when relevant.

What to Expect on Trulicity Each Week
Trulicity is built around convenience: one injection per week with a pre-filled pen, on whatever day works best for you. Your doctor will explain how to rotate injection sites, store the pens, and handle a missed dose. The aim is steadier blood-sugar control over time rather than rapid change.
- Once-weekly subcutaneous injection, taken with or without food.
- Pens are stored refrigerated; many can be kept at room temperature for a limited period — follow the product instructions.
- Rotate injection sites (abdomen, thigh, or upper arm) to reduce irritation.
- Blood-sugar improvements develop gradually over the first weeks to months.
- Continue any diet, activity, and monitoring routine your doctor recommends.

Possible Side Effects of Trulicity
Trulicity shares the GLP-1 side-effect profile, with gastrointestinal effects most common early and often easing as your body adjusts. Your doctor will review warning signs and when to seek care.
- Nausea — most common, especially when starting.
- Diarrhea or constipation.
- Vomiting or reduced appetite.
- Injection site reactions — minor redness or itching.
- Hypoglycemia risk increases if combined with insulin or sulfonylureas.
- Rare: pancreatitis — severe, persistent abdominal pain radiating to the back; seek urgent care at the Saint John Regional Hospital emergency department.
- Rare: gallbladder problems including gallstones.
- Rare: acute kidney injury secondary to dehydration; maintain fluid intake.

How Trulicity Fits Among Type 2 Diabetes Medications
Trulicity is one of several GLP-1 receptor agonists used for type 2 diabetes. Your doctor will weigh your HbA1c, cardiovascular history, kidney function, other medications, and preferences when recommending a treatment. Trulicity's once-weekly dosing and cardiovascular indication make it a practical option for many Saint John patients managing type 2 diabetes.
- Once-weekly dosing can be easier to maintain than daily injectable or oral routines.
- An approved cardiovascular risk-reduction indication matters for patients with type 2 diabetes and heart disease or risk factors.
- Choice among GLP-1 agents depends on individual factors and is made with your doctor.
- Trulicity does not replace diet, activity, and the rest of your diabetes care plan.
Why Saint John Patients Choose TelePlus Care for Trulicity
TelePlus Care gives Saint John-area adults timely, evidence-based access to type 2 diabetes care. Our doctor is a licensed doctor, and we follow Diabetes Canada guidance. We don't dispense medication — we issue prescriptions you fill at any Saint John pharmacy, whether that's a Shoppers Drug Mart uptown, a Jean Coutu in Millidgeville, a Sobeys pharmacy near Mc Allister Place, or an independent pharmacy on the West Side. Same-day virtual visits and clear appointment steps are standard, and Your intake helps the clinician understand your symptoms, history, and goals before the visit.

Your Fast and Convenient Healthcare Solution
Connect with a licensed healthcare provider from the comfort of your home. No referral needed — book your virtual appointment today.
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Teleplus care clinic is not an urgent care clinic. If you have an emergency please call911 or go to the nearest urgent care facility.













