REAL-WORLD EXPERIENCE OF DULAGLUTIDE THERAPY IN A SINGLE TERTIARY CENTER

Authors

  • Mohd Rahman Omar Universiti Sains Islam Malaysia, Malaysia
  • Norasyikin A Wahab Universiti Kebangsaan Malaysia Medical Centre, Malaysia
  • Rohana J Jaafar Universiti Kebangsaan Malaysia Medical Centre, Malaysia
  • Kang Waye Hann University Tunku Abdul Rahman, Malaysia
  • Farhana Binti Ismail International Islamic University Of Malaysia
  • Norlaila Mustafa Universiti Kebangsaan Malaysia Medical Centre, Malaysia
  • Norlela Sukor Universiti Kebangsaan Malaysia Medical Centre, Malaysia
  • Nor Azmi Kamaruddin Universiti Kebangsaan Malaysia Medical Centre, Malaysia

DOI:

https://doi.org/10.15605/jafes.036.S6

Keywords:

delaglutide therapy

Abstract

INTRODUCTION
Glucagon-like peptide-1 receptor agonists such as dulaglutide are recommended in the overall management of type 2 diabetes (T2D). The clinical responses to dulaglutide as add-on therapy for patients with T2D are varied.


METHODOLOGY
The study objective was to observe the outcome of real-world practice using add-on dulaglutide to existing treatment for patients with uncontrolled T2D. We performed a retrospective analysis of all patients who received dulaglutide 1.5 mg weekly from 2018 to 2021 with at least four months of therapy. Only patients with metabolic parameters at baseline and at least on the second visit were included.


RESULTS
A total of 77 patients received dulaglutide therapy from 2018 to 2020; of these, only 68 had complete data for analysis. The median age was 48 years [interquartile range (IQR) 41, 57.8]. Forty-six (65.7%) were female. The median duration of therapy was 6.7 months (IQR 4, 8). There was a significant reduction of HbA1c by 1.6%, from 8.6% (IQR 7.45, 9.6) to 7.0% (IQR 6.2, 7.7) (p<0.001). There were significant changes in weight profiles: median weight reduction of 2.0 kg (IQR 0.2, 5.15), from 89.2 kg (74.2, 97.6%) to 88.3 kg (IQR 77.1, 95) (p<0.001); waist circumference (WC) reduction from 106 cm (IQR 100, 115) to 104.5 cm (IQR 95.5, 112.5) (p=0.015); and body mass index (BMI) reduction from 34.3 kg/m2 (IQR 30, 37.3) to 33.9 kg/m2 (IQR 29.5, 37.5) (p=0.001).


CONCLUSION
Treatment with dulaglutide as additional therapy for uncontrolled T2D reduced HbA1c, weight, WC and BMI as early as four months of therapy.

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Author Biographies

Mohd Rahman Omar, Universiti Sains Islam Malaysia, Malaysia

Medical Based Department, Faculty of Medicine and Health Sciences,

Norasyikin A Wahab, Universiti Kebangsaan Malaysia Medical Centre, Malaysia

Endocrine Unit, Medical Department

Rohana J Jaafar, Universiti Kebangsaan Malaysia Medical Centre, Malaysia

Diabetic Educator Unit

Kang Waye Hann, University Tunku Abdul Rahman, Malaysia

Faculty of Medicine and Health Sciences

Farhana Binti Ismail, International Islamic University Of Malaysia

Medical Department

Norlaila Mustafa, Universiti Kebangsaan Malaysia Medical Centre, Malaysia

Endocrine Unit, Medical Department

Norlela Sukor, Universiti Kebangsaan Malaysia Medical Centre, Malaysia

Endocrine Unit, Medical Department

Nor Azmi Kamaruddin, Universiti Kebangsaan Malaysia Medical Centre, Malaysia

Endocrine Unit, Medical Department

References

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Published

2021-07-28

How to Cite

Omar, M. R., Wahab, N. A. ., Jaafar, R. J., Hann, K. W., Ismail, F. B., Mustafa, N., … Kamaruddin, N. A. (2021). REAL-WORLD EXPERIENCE OF DULAGLUTIDE THERAPY IN A SINGLE TERTIARY CENTER. Journal of the ASEAN Federation of Endocrine Societies, 36, 6. https://doi.org/10.15605/jafes.036.S6

Issue

Section

Abstracts for Oral Presentation | Adult

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