AI Article Synopsis

  • * He also had a long history of Crohn's disease and a psychiatric disorder, which contributed to his health complications.
  • * After switching to liraglutide treatment, his glycemic control significantly improved, lowering his HbA1c from 11.3% to 5.5% and enhancing his quality of life without causing hypoglycemic episodes.

Article Abstract

A 44-year-old man with type 2 diabetes of five years' duration was admitted for the management of poor glycemic control despite the administration of insulin therapy. On admission, he received vigorous treatment for a 28-year history of Crohn's disease and a 14-year history of a psychiatric disorder. His glycosylated hemoglobin A1c (HbA1c) level was 11.3%, his fasting blood glucose level was 567 mg/dL and his C-peptide level was 1.0 ng/mL. His quality of life (QOL) was severely impaired as a result of frequent episodes of hyperglycemia and hypoglycemia. Treatment with liraglutide was commenced in place of insulin, which improved the patient's glycemic control to an HbA1c level of 5.5% and markedly increased his QOL score with no hypoglycemia.

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http://dx.doi.org/10.2169/internalmedicine.53.2306DOI Listing

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