An Oral GLP-1 That Works: ATTAIN-2 and the 2026 ADA Standards | This Week in Diabetes & Endocrinology

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Hormone Insight

Education


This week on This Week in Diabetes & Endocrinology, from Hormone Insight: the

first large phase 3 trial of an oral GLP-1, orforglipron, in adults with type 2

diabetes and obesity (ATTAIN-2, Lancet). The headline is not the size of the

weight loss. It is the word oral.


Also this week:

- A 112,000-patient ACP network meta-analysis that keeps semaglutide and

 tirzepatide on top for both weight loss and cardiovascular outcomes

- A provocative real-world comparison of bariatric surgery versus semaglutide

 in fatty liver disease

- The 2026 ADA Standards of Care, which make cardiovascular and kidney

 protection a co-primary goal alongside A1C

- A Hormone Classic revisit of UKPDS that explains why that shift had to happen


One question runs through all of it: does this change Monday clinic?


Chapters

00:00 Cold open

00:42 This week

01:13 Trial of the Week: orforglipron (ATTAIN-2)

04:29 Quick Hit: ACP weight-loss drug meta-analysis

05:21 Quick Hit: surgery vs semaglutide (MASLD)

06:21 Guideline & FDA Watch: 2026 ADA Standards

07:27 Hormone Classics: UKPDS

08:26 The Bottom Line

08:57 Sign-off


References and written summary: hormoneinsight.com/[slug]


For healthcare professionals. Educational, not individual medical advice.

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#diabetes #endocrinology #GLP1 #obesity #ADA2026