Steroid-Induced Hyperglycemia Successfully Treated With Once-Weekly Dulaglutide in an Old Patient With Type 2 Diabetes
Bibliographic record
Abstract
Glucocorticoids induce hyperglycemia in case of pancreatic alpha- and beta-cell dysfunction. Glucagon-like peptide-1 receptor agonists (GLP-1RA) may prevent steroid-induced hyperglycemia by improving hyperglucagonemia and insulin secretion. An 85-year-old man was treated with oral prednisolone for chronic hypersensitivity pneumonitis, and his glycemic control deteriorated after the initiation of steroid therapy. After the administration of dulaglutide injection, his glycemic control was improved and we could discontinue insulin therapy. Both fasting and postprandial plasma glucagon levels were significantly suppressed by a GLP-1RA, dulaglutide. GLP-1RAs therapy may be a useful strategy for the treatment of steroid-induced hyperglycemia. J Endocrinol Metab. 2018;8(1):10-12 doi: https://doi.org/10.14740/jem491w
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".