PMID- 36758973 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240207 IS - 2287-1012 (Print) IS - 2287-1292 (Electronic) IS - 2287-1012 (Linking) VI - 28 IP - 4 DP - 2023 Dec TI - Effects of once-weekly dulaglutide on juvenile type 2 diabetes mellitus and obesity in Korea: a pilot study. PG - 296-301 LID - 10.6065/apem.2244196.098 [doi] AB - PURPOSE: We sought to investigate the effects and side effects of once-weekly dulaglutide treatment for type 2 diabetes mellitus (T2DM) in patients <18 years of age in Korea. METHODS: : From the Eulji University Hospital database, we identified all patients <18 years of age diagnosed with T2DM and treated with dulaglutide from January 1, 2017, to July 31, 2022. RESULTS: We identified 5 patients <18 years of age treated with dulaglutide for T2DM management. Their mean (standard deviation [SD]) age was 16.6 (0.5) years. Four (80%) patients were female. The mean (SD) body mass index was 29.4 (5.1) kg/m2, and the mean (SD) age at diagnosis was 15.2 (1.6) years. Four patients had been treated previously with metformin alone or in combination with insulin. Four patients were treated with 1.5 mg of dulaglutide and one was treated with 0.75 mg of dulaglutide. The mean (SD) hemoglobin A1c concentrations at baseline, 3 months after treatment, and 1 year after treatment, respectively, were 10.0% (2.2%), 6.5% (1.5%), and 6.7% (1.4%), with significant differences. In addition, at baseline, 3 months after treatment, and 1 year after treatment, the mean (SD) body weight values were 79.7 (13.3) kg, 80.2 (14.0) kg, and 81.1 (15.3) kg, with no significant difference. CONCLUSION: Use of once-weekly dulaglutide for juvenile T2DM ensures very good glycemic control, with few side effects and good adherence, indicating its potential as a promising therapeutic agent in this age group. Nationwide studies are warranted to confirm our results. FAU - Seo, Ji Young AU - Seo JY AD - Department of Pediatrics, Nowon Eulji University Hospital, Eulji University School of Medicine, Seoul, Korea. FAU - Lee, Cha Gon AU - Lee CG AD - Department of Pediatrics, Nowon Eulji University Hospital, Eulji University School of Medicine, Seoul, Korea. FAU - Choi, Hoonsung AU - Choi H AD - Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea. FAU - Lee, Hong Kyu AU - Lee HK AD - Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea. FAU - Lee, So Young AU - Lee SY AD - Department of Internal Medicine, Nowon Eulji University Hospital, Eulji University School of Medicine, Seoul, Korea. FAU - Kim, Hyo-Jeong AU - Kim HJ AD - Department of Internal Medicine, Nowon Eulji University Hospital, Eulji University School of Medicine, Seoul, Korea. FAU - Jung, Kyong Yeun AU - Jung KY AD - Department of Internal Medicine, Nowon Eulji University Hospital, Eulji University School of Medicine, Seoul, Korea. FAU - Kim, Jin Taek AU - Kim JT AD - Department of Internal Medicine, Nowon Eulji University Hospital, Eulji University School of Medicine, Seoul, Korea. LA - eng PT - Journal Article DEP - 20230203 PL - Korea (South) TA - Ann Pediatr Endocrinol Metab JT - Annals of pediatric endocrinology & metabolism JID - 101588279 CIN - Ann Pediatr Endocrinol Metab. 2023 Dec;28(4):235-236. PMID: 38173379 PMC - PMC10765027 OTO - NOTNLM OT - Adolescent OT - Dulaglutide OT - Obesity OT - Type 2 diabetes mellitus COIS- Conflicts of interest No potential conflict of interest relevant to this article was reported. EDAT- 2023/02/10 06:00 MHDA- 2023/02/10 06:01 PMCR- 2023/12/01 CRDT- 2023/02/09 20:24 PHST- 2022/08/23 00:00 [received] PHST- 2022/10/05 00:00 [accepted] PHST- 2023/02/10 06:01 [medline] PHST- 2023/02/10 06:00 [pubmed] PHST- 2023/02/09 20:24 [entrez] PHST- 2023/12/01 00:00 [pmc-release] AID - apem.2244196.098 [pii] AID - apem-2244196-098 [pii] AID - 10.6065/apem.2244196.098 [doi] PST - ppublish SO - Ann Pediatr Endocrinol Metab. 2023 Dec;28(4):296-301. doi: 10.6065/apem.2244196.098. Epub 2023 Feb 3.