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ID 69889
フルテキストURL
著者
Sue, Mihiro Department of Diabetology and Metabolism, NHO Okayama Medical Center
Watanabe, Mayu Department of Diabetology and Metabolism, NHO Okayama Medical Center
Inoue, Ayumi Department of Diabetology and Metabolism, NHO Okayama Medical Center
Katayama, Akihiro Department of Diabetology and Metabolism, NHO Okayama Medical Center
Teshigawara, Sanae Department of Internal Medicine, Diabetes Center, Okayama Saiseikai General Hospital
Matsushita, Yuichi Department of Diabetology and Metabolism, NHO Okayama Medical Center
Takeda, Masaya Department of Diabetology and Metabolism, NHO Okayama Medical Center
Iseda, Izumi Department of Diabetology and Metabolism, NHO Okayama Medical Center
Eguchi, Jun Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences Kaken ID researchmap
Hida, Kazuyuki Department of Diabetology and Metabolism, NHO Okayama Medical Center
抄録
This report describes the first case of maturity-onset diabetes in young (MODY) with HNF1B mutation started administration of the dual glucose-dependent insulinotropic polypeptide and glucagon-like peptide-1 receptor agonist, tirzepatide. A 26-year-old female with a 15-year history of diabetes mellitus was diagnosed with MODY, which is characterized by decreased insulin secretion. She was treated with tirzepatide, which significantly improved her glycemic management; insulin secretion increased the fasting serum C-peptide immunoreactivity from 0.36 to 1.09 ng/mL. The patient discontinued glimepiride, and her total daily insulin dose was reduced from 88 to 4 units. This report highlights the glucose-lowering effects of tirzepatide in a patient with MODY who has the HNF1B p.Glu105Lys mutation.
キーワード
glucagon-like peptide-1 (GLP-1)
glucose-dependent insulinotropic polypeptide (GIP)
maturity-onset diabetes in young (MODY)
tirzepatide
発行日
2025-02
出版物タイトル
Clinical Case Reports
13巻
2号
出版者
Wiley
開始ページ
e70173
ISSN
2050-0904
資料タイプ
学術雑誌論文
言語
英語
OAI-PMH Set
岡山大学
著作権者
© 2025 The Author(s).
論文のバージョン
publisher
PubMed ID
DOI
Web of Science KeyUT
関連URL
isVersionOf https://doi.org/10.1002/ccr3.70173
ライセンス
http://creativecommons.org/licenses/by-nc-nd/4.0/
Citation
Sue, M., Watanabe, M., Inoue, A., Katayama, A., Teshigawara, S., Matsushita, Y., Takeda, M., Iseda, I., Eguchi, J. and Hida, K. (2025), Maturity-Onset Diabetes of the Young (MODY) With HNF1B p.Glu105Lys Mutation Achieving Significant Insulin Reduction on Tirzepatide: A Case Report. Clin Case Rep, 13: e70173. https://doi.org/10.1002/ccr3.70173