Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 ...€¦ · Liraglutide as Additional Tt...

15
Liraglutide as Additional T t ti T 1Di b t Treatment in Type 1 Diabetes Ajay Varanasi, Natalie Bellini, Deepti Rawal, Mehul Vora, AntoineMakdissi, Sandeep Dhindsa, Ajay Chaudhuri and P hD d Paresh Dandona Division of Endocrinology Diabetes and Metabolism Division of Endocrinology, Diabetes and Metabolism, State University of New York at Buffalo

Transcript of Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 ...€¦ · Liraglutide as Additional Tt...

Page 1: Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 ...€¦ · Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 Diabetes Ajay Varanasi, Natalie Bellini, Deepti Rawal,

Liraglutide as Additional T t t i T 1 Di b tTreatment in Type 1 Diabetes

Ajay Varanasi, Natalie Bellini, Deepti Rawal, Mehul Vora, AntoineMakdissi, Sandeep Dhindsa, Ajay Chaudhuri and

P h D dParesh Dandona

Division of Endocrinology Diabetes and MetabolismDivision of Endocrinology, Diabetes and Metabolism, State University of New York at Buffalo

Page 2: Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 ...€¦ · Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 Diabetes Ajay Varanasi, Natalie Bellini, Deepti Rawal,
Page 3: Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 ...€¦ · Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 Diabetes Ajay Varanasi, Natalie Bellini, Deepti Rawal,
Page 4: Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 ...€¦ · Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 Diabetes Ajay Varanasi, Natalie Bellini, Deepti Rawal,
Page 5: Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 ...€¦ · Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 Diabetes Ajay Varanasi, Natalie Bellini, Deepti Rawal,

"J.L." before insulin on December 7, 1922 (15 pounds) and after insulin on February 26, 1923 (30 pounds).

Page 6: Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 ...€¦ · Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 Diabetes Ajay Varanasi, Natalie Bellini, Deepti Rawal,
Page 7: Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 ...€¦ · Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 Diabetes Ajay Varanasi, Natalie Bellini, Deepti Rawal,

*

Incretin Effect*

**

* **

*

Page 8: Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 ...€¦ · Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 Diabetes Ajay Varanasi, Natalie Bellini, Deepti Rawal,
Page 9: Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 ...€¦ · Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 Diabetes Ajay Varanasi, Natalie Bellini, Deepti Rawal,
Page 10: Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 ...€¦ · Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 Diabetes Ajay Varanasi, Natalie Bellini, Deepti Rawal,
Page 11: Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 ...€¦ · Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 Diabetes Ajay Varanasi, Natalie Bellini, Deepti Rawal,
Page 12: Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 ...€¦ · Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 Diabetes Ajay Varanasi, Natalie Bellini, Deepti Rawal,

St d dStandard Deviation decreased

average of 20 gmg/dl

Page 13: Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 ...€¦ · Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 Diabetes Ajay Varanasi, Natalie Bellini, Deepti Rawal,

1) DFPre-VictozaHBA1C = 7.4

On Victoza

Post Victoza

Page 14: Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 ...€¦ · Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 Diabetes Ajay Varanasi, Natalie Bellini, Deepti Rawal,

The Pathogenesis of Type 2 DiabetesThe Pathogenesis of Type 2 DiabetesBetaBeta--Cell Workload Outpaces BetaCell Workload Outpaces Beta--Cell ResponseCell ResponseThe Pathogenesis of Type 2 DiabetesThe Pathogenesis of Type 2 DiabetesBetaBeta--Cell Workload Outpaces BetaCell Workload Outpaces Beta--Cell ResponseCell Response

Healthy Subjects (n = 14)

Beta-CellWorkload Beta-CellWorkload

Type 2 Diabetes (n = 12)

Beta-CellWorkload Beta-CellWorkload

Carbohydrate Meal

Beta-CellResponse Beta-CellResponse

WorkloadWorkload

Beta-CellResponse Beta-CellResponse

WorkloadWorkload

Beta-Cell Beta-Cell

ResponseResponse

Beta-Cell Beta-Cell

ResponseResponse

Beta-CellWorkload Beta-CellWorkload Beta-CellWorkload Beta-CellWorkload

EuglycemiaEuglycemiaEuglycemiaEuglycemiaHyperglycemiaHyperglycemia

Mean (SE)

Page 15: Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 ...€¦ · Liraglutide as Additional Tt tiT 1DibtTreatment in Type 1 Diabetes Ajay Varanasi, Natalie Bellini, Deepti Rawal,

3) KGPre Vi tVictozaA1C 6.5

O Vi tOn Victoza