Donating Blood on a GLP-1 or Insulin: Red Cross Rules
[Answers · GLP-1 medicines]

Can you donate blood on a GLP-1 medicine or insulin?

From FDA labels, public health agencies and published studies · Reviewed

Short answer: Usually yes, at the American Red Cross. Its rules say people with diabetes or prediabetes can generally donate if they feel well, that the type of diabetes medicine usually does not disqualify them, and that donors on any kind of insulin are eligible. Its eligibility page does not name GLP-1 medicines. Every donor still has to weigh at least 110 pounds and pass blood pressure, pulse and hemoglobin checks on the day.

What the Red Cross page says

The American Red Cross alphabetical eligibility page has two entries that apply:

  • Diabetes and prediabetes: generally eligible if feeling well on the day of donation, and in most situations the type of medicine taken does not disqualify the donor.
  • Insulin: donors with diabetes who take any kind of insulin are eligible as long as they feel well on the day.

The page we read does not name semaglutide, tirzepatide, liraglutide or dulaglutide. People who take a GLP-1 medicine for weight without diabetes are not covered by the diabetes entry, so the health historian at the drive is the one to ask.

The checks every donor has to pass

American Red Cross checks on the day
CheckRule
WeightAt least 110 pounds for whole blood
Blood pressureNo higher than 180/100 and at least 90/50, feeling well
HemoglobinAt least 12.5 g/dL for women and 13.0 g/dL for men, and no higher than 20 g/dL
Gap between donationsAt least 8 weeks between whole blood donations

The Red Cross notes that stress, nutrition, illness, hydration and weight can all change these readings. Nausea or tiredness from a recent dose increase can count against feeling well on the day. People losing weight on a GLP-1 medicine may want to check they are still above the weight minimum.

The needle question

The Red Cross asks people to wait 3 months after using needles to inject drugs that were not prescribed by a physician, because of hepatitis and HIV concerns. A prescribed GLP-1 pen or insulin does not fall under that wording. Injecting something without a prescription, such as a product sold for research use, does by its wording, which is the same rule covered in donating blood on TRT.

Donors on blood thinners such as warfarin or apixaban cannot give blood, and the page lists them by name. That rule is about bleeding, not diabetes.

Low blood sugar on donation day

The NIDDK names insulin, sulfonylureas and meglitinides as the diabetes medicines that can cause low blood sugar, and lists skipped or delayed meals and extra activity among the triggers. How a GLP-1 medicine fits into that is covered in can GLP-1 medicines cause low blood sugar.

Telling the staff about insulin use and carrying a fast-acting carbohydrate, as the NIDDK suggests for anyone at risk of lows, are simple steps. Dose Track shows the last dose time, which is one of the questions that can come up.

Read more on Dose Track: Donating blood on TRT · Hypoglycemia · Hematocrit · Ozempic side effects

General education drawn from labels, public health agencies and published studies, not personal medical advice. Your prescriber, pharmacist and the label that came with your medicine are the final word. Questions for other users? Ask in the Dose Track community.

Frequently asked questions

Can you donate blood if you take Ozempic?+
The Red Cross eligibility page does not name Ozempic or other GLP-1 medicines. For people with diabetes it says the type of medicine usually does not disqualify them if they feel well.
Can you give blood if you take insulin?+
Yes. The Red Cross says donors with diabetes who take any kind of insulin are eligible as long as they feel well on the day.
Is there a weight minimum to donate blood?+
Yes. The Red Cross requires donors to weigh at least 110 pounds.
Does injecting medicine affect blood donation?+
The Red Cross 3-month wait applies to injecting drugs not prescribed by a physician. Prescribed injections are not covered by that wording.