Effects of Semaglutide on Weight and Insulin Requirements in Two Adolescents With Type 1 Diabetes.

IF 6.4 2区 医学 Q1 PEDIATRICS
Christine Rode Schwarz, Tina Vilsbøll, Malene Ø Aistrup, Julie T Kloppenborg
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Abstract

We present 2 case reports of the benefits of the subcutaneous once-weekly glucagon-like peptide 1 receptor agonist (GLP-1RA) therapy semaglutide in adolescents with type 1 diabetes (T1D) complicated by obesity. Two female individuals (17 and 12 years old) with T1D who have automated and continuous insulin delivery systems presented with marked weight gain, increasing insulin requirement, and suboptimal glycemic control. We added GLP-1RA to standard insulin pump therapy and revisited education related to healthy lifestyle. Both adolescents achieved notable improvements in glycemic control, weight, and insulin requirement after 12 months of treatment without any adverse events. These cases suggest that adjunctive GLP-1RA therapy may improve metabolic control and body weight management in adolescent T1D with obesity. Larger studies are needed to clarify optimal dosing and safety, including long-term effects on body composition and growth.

西马鲁肽对2例青少年1型糖尿病患者体重和胰岛素需求的影响
我们报告了2例每周一次皮下胰高血糖素样肽1受体激动剂(GLP-1RA)治疗伴有肥胖的青少年1型糖尿病(T1D)的益处。两名女性(17岁和12岁)患有T1D,他们有自动和持续的胰岛素输送系统,表现出明显的体重增加,胰岛素需求增加,血糖控制不佳。我们将GLP-1RA添加到标准胰岛素泵治疗中,并重新审视与健康生活方式相关的教育。治疗12个月后,两名青少年在血糖控制、体重和胰岛素需求方面均有显著改善,无任何不良事件发生。这些病例表明,GLP-1RA辅助治疗可以改善青少年T1D合并肥胖的代谢控制和体重管理。需要更大规模的研究来阐明最佳剂量和安全性,包括对身体成分和生长的长期影响。
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来源期刊
Pediatrics
Pediatrics 医学-小儿科
CiteScore
12.80
自引率
5.00%
发文量
791
审稿时长
2-3 weeks
期刊介绍: The Pediatrics® journal is the official flagship journal of the American Academy of Pediatrics (AAP). It is widely cited in the field of pediatric medicine and is recognized as the leading journal in the field. The journal publishes original research and evidence-based articles, which provide authoritative information to help readers stay up-to-date with the latest developments in pediatric medicine. The content is peer-reviewed and undergoes rigorous evaluation to ensure its quality and reliability. Pediatrics also serves as a valuable resource for conducting new research studies and supporting education and training activities in the field of pediatrics. It aims to enhance the quality of pediatric outpatient and inpatient care by disseminating valuable knowledge and insights. As of 2023, Pediatrics has an impressive Journal Impact Factor (IF) Score of 8.0. The IF is a measure of a journal's influence and importance in the scientific community, with higher scores indicating a greater impact. This score reflects the significance and reach of the research published in Pediatrics, further establishing its prominence in the field of pediatric medicine.
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