liraglutide as additional tt tit 1dibttreatment in type 1 ...€¦ · liraglutide as additional tt...

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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

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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