Brain Neuromodulation via Endoscopic Gastric Implant Improves Glycemic Control in Insulin-Dependent Type-2 Diabetes: First-in-Human Feasibility and Autonomic Response Study.
Valerio Cigaina, Alfredo Saggioro, Paolo Fabris et al.
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Case in brief
A 69-year-old male with a 25-year history of insulin-dependent type-2 diabetes underwent implantation of a Brain NeuroModulator (BNM) device in the gastric submucosa. Following the procedure, heart rate variability (HRV) analysis indicated increased parasympathetic tone. Within two months, the patient was able to discontinue semaglutide and metformin, and insulin was reduced to zero, demonstrating significant improvement in glycemic control.
Diagnostic / clinical pearl
This case highlights the potential of neuromodulation via gastric implantation to improve glycemic control in insulin-dependent type-2 diabetes by enhancing parasympathetic tone.