Endocrinology and metabolism clinics of North America

Daily Glucagon-like Peptide-1 Receptor Agonists in Type 1 Diabetes: Current Understanding and Future Directions

Updated

Abstract

Phase 2 clinical trials indicated promising signals for efficacy in glycemic control and weight management with daily injectable glucagon-like peptide-1 receptor agonists in type 1 diabetes.

  • Larger phase 3 trials confirmed the efficacy of these drugs but identified safety concerns such as hypoglycemia and ketosis.
  • Previous trials used a one-size-fits-all approach for insulin dosing without continuous glucose monitoring.
  • Current focus has shifted to weekly injectable agents with a more personalized approach to insulin titration guided by continuous glucose monitoring.

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