Evidence mapPaperPMID 39601745Full record

ArticleMayo Clinic proceedings2025

Effect of Tirzepatide on Body Weight and Diabetes Control in Adults With Type 1 Diabetes and Overweight or Obesity.

Rene Rivera Gutierrez, Elif Tama, Dima Bechenati, Regina Castañeda Hernandez, Pamela K Bennett, Allyson W McNally, Sima Fansa, Diego Anazco, Andres Acosta, Maria D Hurtado Andrade

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Mayo Clinic proceedings, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07284511 (Fully Closed-Loop Glucose Control in Adults With Type 1 Diabetes Using Tirzepatide), which is not on this map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
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.

NCT07284511 phase2 / phase3recruitingstarted 2026, after this paper: background citation

Fully Closed-Loop Glucose Control in Adults With Type 1 Diabetes Using Tirzepatide: a Randomized, Multi-center, Open-label, Non-inferiority, Parallel Trial

Ran2026Enrolled105Registered outcomes35Posted comparisons0ConditionsT1D, T1DM, T1DM - Type 1 Diabetes Mellitus, Type 1 DiabetesArmsCarbohydrate Counting, No Meal Announcement, Tandem Control-IQ Automated Insulin Delivery System (with Dexcom G7 CGM), Tirzepatide
Open the trial in the graph
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Obesity in Adults with Type 1 Diabetes Mellitus.Journal of obesity & metabolic syndrome · 2026
    Review
  5. Metabolic dysfunction and the use of adjunct medications in type 1 diabetes.Current opinion in endocrinology, diabetes, and obesity · 2026
    Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. Managing obesity in adults with type 1 diabetes.Diabetes research and clinical practice · 2025
    Review
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

10 authors.

Rene Rivera GutierrezDivision of Endocrinology, Diabetes, and Metabolism, Mayo Clinic, Jacksonville, FL, USA; Precision Medicine for Obesity Program, Mayo Clinic, Rochester, MN, USA.
Elif TamaDivision of Endocrinology, Diabetes, and Metabolism, Mayo Clinic, Jacksonville, FL, USA; Precision Medicine for Obesity Program, Mayo Clinic, Rochester, MN, USA.
Dima BechenatiDivision of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN, USA.
Regina Castañeda HernandezDivision of Endocrinology, Diabetes, and Metabolism, Mayo Clinic, Jacksonville, FL, USA; Precision Medicine for Obesity Program, Mayo Clinic, Rochester, MN, USA.
Pamela K BennettDivision of Endocrinology, Diabetes, and Metabolism, Mayo Clinic, Jacksonville, FL, USA.
Allyson W McNallyDivision of Endocrinology, Diabetes, and Metabolism, Mayo Clinic, Jacksonville, FL, USA.
Sima FansaPrecision Medicine for Obesity Program, Mayo Clinic, Rochester, MN, USA; Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
Diego AnazcoPrecision Medicine for Obesity Program, Mayo Clinic, Rochester, MN, USA.
Andres AcostaPrecision Medicine for Obesity Program, Mayo Clinic, Rochester, MN, USA; Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
Maria D Hurtado AndradeDivision of Endocrinology, Diabetes, and Metabolism, Mayo Clinic, Jacksonville, FL, USA; Precision Medicine for Obesity Program, Mayo Clinic, Rochester, MN, USA. Electronic address: Hurtado.MariaDaniela@mayo.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the effect of tirzepatide on weight, diabetes control, and insulin requirements, and its safety profile in adults with type 1 diabetes (T1D) and overweight or obesity. PATIENTS AND

methodsThis is a retrospective study of adults with T1D using tirzepatide for overweight/obesity treatment between June 1, 2022, and October 31, 2023, at Mayo Clinic. Fifty-one patients fulfilled inclusion and exclusion criteria (adults with established T1D diagnosis and a body mass index ≥27 kg/m

resultsMost individuals were female (30, 58.8%), White (49, 96.1%), and with obesity class III (21, 41.2%). During a median follow-up time of 8.0 (Q1-Q3: 4.0-10.0) months, the total body weight loss was 8.5% (Q1-Q3: 5.3%-13.8%) (P<.01). At 12 months, total body weight loss was 12.2% (Q1-Q3: 7.3%-19.8%) (n=26). By the last follow-up, hemoglobin A

conclusionTirzepatide for the treatment of overweight and obesity in adults with T1D leads to substantial weight loss, improved diabetes control, and decreased insulin requirements, without worsening hypoglycemia. Future studies are needed to ascertain the long-term effect of tirzepatide in this population, ideally focusing on cardiovascular outcomes.

Indexed as

Diabetes Mellitus, Type 1InsulinObesityOverweightAdultBody Mass IndexBody WeightFemaleGlycated HemoglobinHumansHypoglycemic AgentsMaleMiddle AgedRetrospective StudiesTirzepatideTreatment OutcomeGlycated HemoglobinHypoglycemic AgentsInsulinTirzepatide

Identifiers

What Socratic holds

Texttitle and abstract
Read underepoch 390

Registered trials

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 Socratic graph.