Evidence map›Paper›PMID 41347115›Full record

ArticleJCEM case reports2026

Dulaglutide as a Bridging Therapy Before Insulin for Diabetes Following Pancreatectomy on Congenital Hyperinsulinism.

Sakura Motegi, Masanori Adachi, Keiko Nagahara, Ayako Ochi, Tatsuyuki Ishida, Katsumi Mizuno

Abstract readCase Reports
In one paragraph

Article in JCEM case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sakura MotegiDepartment of Pediatrics, Showa Medical University, Tokyo 142-8666, Japan.ORCID https://orcid.org/0009-0003-4217-376X
Masanori AdachiDepartment of Pediatrics, Showa Medical University, Tokyo 142-8666, Japan.ORCID https://orcid.org/0000-0003-4747-3983
Keiko NagaharaDepartment of Pediatrics, Showa Medical University, Tokyo 142-8666, Japan.ORCID https://orcid.org/0000-0002-6559-9398
Ayako OchiDepartment of Pediatrics, Showa Medical University, Tokyo 142-8666, Japan.ORCID https://orcid.org/0000-0002-8411-6005
Tatsuyuki IshidaDepartment of Pediatrics, Showa Medical University, Tokyo 142-8666, Japan.ORCID https://orcid.org/0009-0002-2004-4767
Katsumi MizunoDepartment of Pediatrics, Showa Medical University, Tokyo 142-8666, Japan.ORCID https://orcid.org/0000-0002-6983-8851

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hyperinsulinism and postpancreatectomy diabetes (CHI/PPD) refers to diabetes following pancreatectomy to treat hypoglycemia due to congenital hyperinsulinism. Insulin therapy in CHI/PPD may sometimes be challenging because of glucagon deficiency and the dysfunction of the remaining β-cells. In a 16-year-old male patient with CHI/PPD and severe hypoglycemic brain damage, a dulaglutide trial was planned, because some biochemical indices suggested that he was not completely insulin-dependent. Other than transient appetite loss, no adverse events were observed. The patient's hemoglobin A1c level promptly decreased from 6.7% (SI: 49.7 mmol/mol) [reference range, 4.6-6.2% (SI: 26.8-44.3 mmol/mol)] to 5.7%, with temporary, but not persistent, improvement in endogenous insulin secretion. He has been free from exogenous insulin for more than 4 years under dulaglutide. In conclusion, in selected patients with CHI/PPD and reserved β-cell function, dulaglutide may serve as a bridging therapy before insulin introduction.

Indexed as

congenital hyperinsulinismdulaglutideglucagon-like peptide-1 receptor agonisthyperinsulinism and postpancreatectomy diabetesβ-cell function

Identifiers

PMID41347115
PMCPMC12673381

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.