Is Glucagon-like peptide-1 (GLP-1) suitable for use in Type 1 Diabetes Mellitus (Type 1 DM)?

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Last updated: February 14, 2025View editorial policy

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From the Research

Efficacy of GLP-1 in Type 1 Diabetes Mellitus

  • GLP-1 receptor agonists (GLP-1 RAs) have been studied as a potential adjunctive treatment for Type 1 Diabetes Mellitus (T1DM) 1, 2, 3, 4
  • Studies have shown that GLP-1 RAs can improve glycemic control, reduce insulin doses, and promote weight loss in patients with T1DM 1, 2, 4
  • The use of GLP-1 RAs in T1DM has been associated with a low risk of hypoglycemia and diabetic ketoacidosis 2, 3

Patient Selection for GLP-1 Therapy

  • Patients with T1DM who may benefit from GLP-1 RA therapy include those with detectable C-peptide, overweight or obese individuals, and those who cannot achieve glycemic goals without hypoglycemia 2, 4
  • GLP-1 RAs may be particularly useful for patients with T1DM who are experiencing adverse effects from insulin therapy or who require high insulin doses 1, 2

Safety and Tolerability of GLP-1 RAs

  • GLP-1 RAs have been shown to be well-tolerated in patients with T1DM, with mostly gastrointestinal adverse effects that are mild and transient 1, 2
  • The risk of severe hypoglycemia and diabetic ketoacidosis is not significantly increased with GLP-1 RA therapy in T1DM 2, 3

Future Directions for Research

  • Further studies are needed to evaluate the long-term efficacy and safety of GLP-1 RAs in T1DM, as well as their potential impact on microvascular and macrovascular complications 2, 4
  • Research is also needed to determine the optimal patient selection criteria and treatment regimens for GLP-1 RA therapy in T1DM 4

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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