Endocrinology and metabolism (Seoul, Korea)

Worsening Blood Sugar Control in Type 2 Diabetes Linked to Shortage of a Key Glucose-Regulating Hormone Treatment

Updated

Abstract

The average hemoglobin A1c level increased from 7.0%±0.9% to 8.1%±1.4% within 3 months after discontinuing dulaglutide in individuals with type 2 diabetes.

  • Discontinuation of dulaglutide is associated with significant deterioration in glycemic control.
  • Fasting glucose levels rose from 129±31 to 156±50 mg/dL following the cessation of the medication.
  • Alternative treatments, such as dipeptidyl peptidase-4 inhibitors and sodium glucose cotransporter-2 inhibitors, did not sufficiently compensate for the loss of GLP-1 receptor agonist therapy.
  • The findings underscore the critical role of continuous GLP-1 receptor agonist therapy in managing metabolic health.

Simplified

Key numbers

8.1%±1.4%
Increase in Hemoglobin A1c
HbA1c levels rose from 7.0%±0.9% to 8.1%±1.4% within 3 months.
156±50 mg/dL
Increase in Fasting Glucose
Fasting glucose levels increased from 129±31 to 156±50 mg/dL.

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Funding

Competing interests

CONFLICTS OF INTEREST . No potential conflict of interest relevant to this article was reported.
PubMed

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