Do people with type 2 diabetes on a GLP-1 medication need to monitor blood sugar as closely as before?

Generally yes, at least initially. Blood sugar monitoring helps confirm the medication is working as expected and catches any issues early, especially if combined with other blood sugar-lowering medications where the risk of blood sugar dropping too low becomes relevant. Monitoring frequency is something that gets worked out with a provider and may be adjusted over time once things stabilize, rather than something to reduce on your own. References: https://obesitycanada.ca/healthcare-professionals/adult-clinical-practice-guideline/ https://guidelines.diabetes.ca/GuideLines/media/Docs/Quick%20Reference%20Guide/2024-CPG-Quick-Reference-Guide.pdf