For the NO

Authors

  • Félix Miguel Puchulu José de San Martín Clinic, Autonomous City of Buenos Aires, Argentina

DOI:

https://doi.org/10.47196/diab.v56i3Sup.532

Keywords:

diabetes mellitus, insulin

Abstract

The addition of metformin in adults with type 1 diabetes caused small reductions in body weight and lipid levels but did not improve HbA1c.

The trials of glucagon-like peptide 1 receptor agonists (GLP-1 RAs) in type 1 diabetes have been conducted with liraglutide, showing modest HbA1c reductions (0.3 - 0.4%), decreases in weight ( 5 kg), and reductions in insulin doses (10 – 12%). The most frequent AEs with liraglutide were nausea and vomiting. The rate of symptomatic hypoglycemic episodes was increased with liraglutide 1.8 mg and 1.2 mg versus placebo. The rate of hyperglycemic episodes accompanied by ketosiswas increased with liraglutide 1.8 mg.

Author Biography

Félix Miguel Puchulu, José de San Martín Clinic, Autonomous City of Buenos Aires, Argentina

Diabetology Division Head, Argentine Diabetes Society (SAD)

References

I. Dejgaard T, et al. Efficacy and safety of liraglutide in type 1 diabetes by baseline characteristics in the randomized controlled trials. Diabetes Obes Metab 2021;23:2752-2762.

II. Buse J, Garg S, Rosenstock J. Sotagliflozin in combination with optimized insulin therapy in adults with type 1 diabetes: The North American inTandem1 Study. Diabetes Care 2018;41:1970-1980.

III. Danne T, Cariou B, Banks P, Brandle M. HbA1c and hypoglycemia reductions at 24 and 52 weeks with sotagliflozin in combination with insulin in adults with type 1 diabetes: The European inTandem 2 Study. Diabetes Care 2018;41:1981-1990.

IV. Phillip M, Mathieu C, et al. Long‐term efficacy and safety of dapagliflozin in patients with inadequately controlled type 1 diabetes: pooled 52‐week outcomes from the DEPICT‐1 and ‐2 studies outcomes from the DEPICT‐1 and -2 studies. Diabetes, Obesity and Metabolism 2021;23(2):549-560.

V. Rosenstock J, Marquad J, Laffel Lea. Empagliflozin as adjunctive to insulin therapy in type 1 diabetes: The EASE Trials. Diabetes Care 2018;41:2560-2569.

VI. Henry R, Thakkar P, Tong C, Polidori D, Alba M. Efficacy and safety of canagliflozina, a sodium-glucose cotransporter 2 inhibitor, add-on to insulin in patientes with type 1 diabetes. Diabetes Care 2015;38:2285-2265.

Published

2022-09-01

How to Cite

Puchulu, F. M. (2022). For the NO. Journal of the Argentine Society of Diabetes, 56(3Sup), 40–40. https://doi.org/10.47196/diab.v56i3Sup.532

Issue

Section

Debate: Something other than insulin to treat type 1 diabetes mellitus?

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