Evidence map›Paper›PMID 41729594›Full record

ArticleThe Journal of clinical endocrinology and metabolism2026

The use of semaglutide as an add-on therapy in patients with latent autoimmune diabetes in adults.

Maria Elena Lunati, Vincenzo Cimino, Davide Bernasconi, Cristina Romano, Olga Disoteo, Antonio Rossi, Camilla Tinari, Roberta Maria Fiorina, Alessandra Gandolfi, Paola Silvia Morpurgo and 10 more

Abstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

20 authors.

Maria Elena LunatiDivision of Endocrinology, ASST Fatebenefratelli-Sacco, 20121 Milan, Italy.ORCID 0000-0003-3619-3046
Vincenzo CiminoDivision of Endocrinology, ASST Fatebenefratelli-Sacco, 20121 Milan, Italy.ORCID 0000-0001-6220-0815
Davide BernasconiDivision of Endocrinology, ASST Fatebenefratelli-Sacco, 20121 Milan, Italy.
Cristina RomanoDiabetology, Azienda Ospedaliera ASST Sette Laghi - Osp. di Circolo, 21100 Varese, Italy.
Olga DisoteoDivision of Endocrinology and Diabetology, Sant'Anna Hospital - ASST Lariana, 22100 Como, Italy.
Antonio RossiDepartment of Biomedical and Clinical Sciences, University of Milan, 20157 Milan, Italy.
Camilla TinariDivision of Endocrinology, ASST Fatebenefratelli-Sacco, 20121 Milan, Italy.
Roberta Maria FiorinaInternational Center for T1D, Pediatric Clinical Research Center Romeo ed Enrica Invernizzi, DIBIC, University of Milan, 20157 Milan, Italy.
Alessandra GandolfiDivision of Endocrinology, ASST Fatebenefratelli-Sacco, 20121 Milan, Italy.
Paola Silvia MorpurgoDivision of Endocrinology, ASST Fatebenefratelli-Sacco, 20121 Milan, Italy.
Francesca D'AddioDivision of Endocrinology, ASST Fatebenefratelli-Sacco, 20121 Milan, Italy.
Elisa LazzaroniDivision of Endocrinology, ASST Fatebenefratelli-Sacco, 20121 Milan, Italy.
Fabrizio LosurdoDivision of Endocrinology, ASST Fatebenefratelli-Sacco, 20121 Milan, Italy.
Ida PastoreDivision of Endocrinology, ASST Fatebenefratelli-Sacco, 20121 Milan, Italy.
Laura MolteniCentre for Diabetology, Endocrinology and Treatment of Metabolic Diseases, Sacra Famiglia Hospital, 22036 Erba, Italy.
Cesare BerraDepartment of Endocrinology and Metabolic Diseases, IRCCS Multimedica, 20099 Milan, Italy.
Moufida Ben NasrDepartment of Biomedical and Clinical Sciences, University of Milan, 20157 Milan, Italy.
Laura MontefuscoDivision of Endocrinology, ASST Fatebenefratelli-Sacco, 20121 Milan, Italy.ORCID 0000-0002-2096-8188
Loredana BucciarelliDepartment of Biomedical and Clinical Sciences, University of Milan, 20157 Milan, Italy.
Paolo FiorinaDivision of Endocrinology, ASST Fatebenefratelli-Sacco, 20121 Milan, Italy.ORCID 0000-0002-1093-7724

Funding

Italian Ministry of University Research 20229ZA2YF
6 · The paper itself

Abstract

introductionSemaglutide, a GLP-1R agonist (GLP-1RA), has demonstrated high efficacy in the management of type 2 diabetes. Few data in literature are available regarding the use of this agent in patients affected by latent autoimmune diabetes in adults (LADA). The purpose of this study is to analyze the efficacy of semaglutide use in patients affected by LADA. MATERIALS AND

methodsIn this retrospective study, we collected and analyzed data of 80 patients with LADA treated with semaglutide, either oral or subcutaneous, as an add-on therapy to insulin. Laboratory and clinical parameters and metrics from continuous glucose monitoring were collected where available.

resultsAmong 80 patients, 68 continued semaglutide (57/68 oral and 11/68 subcutaneous) for at least 6 months, whereas 12/80 patients discontinued treatment. After 6 months, semaglutide users showed statistically significant reduction in glycated hemoglobin, body mass index, and insulin total daily dose. Interestingly, serum C-peptide levels and the time-in-range values increased, without changes in the time below range. Subjects with residual β-cell function showed a higher body mass index and insulin total daily dose reduction. Moreover, the subgroup of subjects with preserved β-cell mass showed a greater improvement in time in range as compared to those with poor C-peptide production. Finally, 14/68 subjects suspended insulin bolus administration after starting semaglutide.

conclusionSemaglutide as an add-on treatment to insulin exerted relevant clinical beneficial effects on the glycometabolic control in patients with LADA. These effects are enhanced in those patients with preserved β-cell function.

Indexed as

Glucagon-Like PeptidesHypoglycemic AgentsLatent Autoimmune Diabetes in AdultsAdultAgedBlood GlucoseDrug Therapy, CombinationFemaleFollow-Up StudiesGlycated HemoglobinHumansInsulinMaleMiddle AgedRetrospective StudiesSemaglutideBlood GlucoseGlucagon-Like PeptidesGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsInsulinSemaglutideGLP-1RALADAsemaglutideβ-cell

Identifiers

PMID41729594
PMCPMC13271783

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Registered trials

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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.