Resumen de Investigación
Analyzed using Evidence Intelligence™

Liraglutide is well tolerated in diabetes patients undergoing hemodialysis.

Última actualización 5 de julio de 2026

Key finding

Significant increase in maximum glucose level during hemodialysis (p=0.026).

This study investigated the effects of hemodialysis on plasma glucose and liraglutide levels in patients with diabetes and end-stage renal disease, finding significant increases in maximum glucose and glycemic variability.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Long-Term (1–5 y)

Risk of bias

High Risk

Guarda este estudio en tu Evidence Tracker para encontrarlo facilmente cuando lo necesites.

Plain-language summary

What this paper says

A plain-language read of the study's main message and where it applies.

Study focus

This study investigated the effects of hemodialysis on plasma glucose and liraglutide levels in patients with diabetes and end-stage renal disease, finding significant increases in maximum glucose and glycemic variability.

Clinical relevance

Understanding how hemodialysis affects glucose levels is crucial for managing diabetes in patients with end-stage renal disease. The significant increases in maximum glucose and glycemic variability may necessitate adjustments in diabetes treatment protocols to prevent complications.

Keep in mind

Non-randomized design may introduce bias. Limited sample size restricts generalizability. Lack of long-term follow-up data.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Takeshi O, Miyoko S, Atsuko T, et al. The effect of hemodialysis on the plasma glucose profile and liraglutide level after liraglutide injection was investigated in patients with diabetes and end-stage renal disease (ESRD). PLoS ONE. 2014;9(12):e113468. doi:10.1371/journal.pone.0113468

Efectos Principales

Maximum glucose levels increased significantly during hemodialysis (p=0.026, 37.8 mg/dL increase).

Standard deviation of glucose levels increased significantly during hemodialysis (p=0.028, 8.4 mg/dL increase).

Mean amplitude of glycemic excursions (MAGE) increased significantly during hemodialysis (p=0.027, 34.4 mg/dL increase).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Liraglutide and AUC during hypoglycemia (<70 mg/dL), Blood glucose, Duration of hypoglycemia, and 8 more.

Primary intervention

Liraglutide

Primary outcomes

  • AUC during hypoglycemia (<70 mg/dL)
  • Blood glucose
  • Duration of hypoglycemia

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

11
Evidence pairs
11
Relationships
3
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 68

3

Related topics

11

Evidence pairs

189

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 11 evidence relationships
  • Includes primary outcome data
  • Linked to 3 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Evidencia principal

Relación de evidencia

GLP-1 Receptor Agonists and Fasting Glucose

Evidencia relacionada

Relación de evidencia

GLP-1 Receptor Agonists and Postprandial and OGTT Glucose

Seguir evidencia

Relación de evidencia

GLP-1 Receptor Agonists and CGM Time in Range

Seguir evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

AUC during hypoglycemia (<70 mg/dL)

Liraglutide → AUC during hypoglycemia (<70 mg/dL)

Liraglutide → AUC during hypoglycemia (<70 mg/dL)

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Blood glucose

Liraglutide → Blood glucose

Liraglutide → Blood glucose

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Duration of hypoglycemia

Liraglutide → Duration of hypoglycemia

Liraglutide → Duration of hypoglycemia

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Glucose iAUC (OGTT)

Liraglutide → Glucose iAUC (OGTT)

Liraglutide → Glucose iAUC (OGTT)

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Injection pain score

Liraglutide → Injection pain score

Liraglutide → Injection pain score

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Injection-site adverse reactions

Liraglutide → Injection-site adverse reactions

Liraglutide → Injection-site adverse reactions

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Maximum glucose

Liraglutide → Maximum glucose

Liraglutide → Maximum glucose

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Mean amplitude of glycemic excursions (MAGE)

Liraglutide → Mean amplitude of glycemic excursions (MAGE)

Liraglutide → Mean amplitude of glycemic excursions (MAGE)

Evidence Intelligence™
ImpactScore™
25
Negative
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Minimum glucose

Liraglutide → Minimum glucose

Liraglutide → Minimum glucose

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Standard deviation of glucose

Liraglutide → Standard deviation of glucose

Liraglutide → Standard deviation of glucose

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Time above 13.9 mmol/L

Liraglutide → Time above 13.9 mmol/L

Liraglutide → Time above 13.9 mmol/L

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

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Evidence Tracker

12 tracked topics

Saved Studies

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Research Notes

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Weekly Evidence Digest

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evidence suggest

La Evidencia Sugiere

  • Hemodialysis did not significantly affect mean glucose levels (p=0.158).
  • No adverse events, including hypoglycemia, were observed after liraglutide injection.
  • Duration of hyperglycemia and hypoglycemia remained unchanged during hemodialysis.
who this applies

A quién se aplica

  • Patients with diabetes and end-stage renal disease.
  • Individuals undergoing hemodialysis treatment.
keep in mind

Tener en Cuenta

  • Findings may not apply to patients without ESRD.
  • Results are based on a single-arm study design.
  • Further research is needed to confirm long-term effects.
between the lines

Entre Líneas

  • Non-randomized design may introduce bias.
  • Limited sample size restricts generalizability.
  • Lack of long-term follow-up data.

Save this study

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Today's Activity

Your Evidence Workspace

Free account

Saved this study

Your free account becomes your personal diabetes evidence workspace.

Evidence Tracker

12 tracked topics

Saved Studies

48 studies

Research Notes

Coming Soon

Weekly Evidence Digest

Coming Soon

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on GLP-1 Receptor Agonists and AUC during hypoglycemia (<70 mg/dL), GLP-1 Receptor Agonists and Fasting Glucose.

Relaciones de evidencia relacionadas

Explore in Evidence Archive

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does GLP-1 Receptor Agonists improve fasting glucose?

Strong Evidence

GLP-1 Receptor Agonists may improve Fasting Glucose.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Blood glucose

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 8 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
8 supporting studiesUpdated: Jul 2026

Does GLP-1 Receptor Agonists improve postprandial and ogtt glucose?

Strong Evidence

Current evidence does not show a clear benefit of GLP-1 Receptor Agonists for Postprandial and OGTT Glucose.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Glucose iAUC (OGTT)

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 4 supporting studies and existing graph evidence signals.

Limitations

  • Population details are unavailable.
4 supporting studiesUpdated: Jul 2026

Does GLP-1 Receptor Agonists improve cgm time in range?

Moderate Evidence

Current evidence does not show a clear benefit of GLP-1 Receptor Agonists for CGM Time in Range.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Time above 13.9 mmol/L

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 3 supporting studies and existing graph evidence signals.

Limitations

  • Population details are unavailable.
3 supporting studiesUpdated: Jul 2026

Does GLP-1 Receptor Agonists improve glucose variability?

Emerging Evidence

GLP-1 Receptor Agonists may worsen Glucose Variability or be associated with harm.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Mean amplitude of glycemic excursions (MAGE)

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | moderate negative | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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