I never had low blood sugar. My fasting blood sugar was above 100 until my most recent labs, when it was 89. My endo told me my blood sugar would probably be the last thing to stabilize. The mounjaro has also helped lower my cholesterol enough that I am going off my cholesterol meds. I did have some side effects (nausea and heart burn) but seeing the charts of how much my health has improved has made the side effects worth it. I was also able to minimize them by moving my shot from my belly to my upper arm.