library.onepin.app/dulaglutide Peptide Education Library
Education only, not medical advice 21+ Every dose is an example to finalize with a licensed provider

OnePin Peptide Library · Metabolic

Metabolic GLP-1 Receptor Agonist

Dulaglutide

Trulicity

GLP-1 Receptor AgonistAntidiabetic

Dulaglutide (brand name Trulicity) is a long-acting glucagon-like peptide-1 receptor agonist (GLP-1 RA) developed by Eli Lilly for the treatment of type 2 diabetes mellitus. It consists of a GLP-1 analog covalently linked to a modified human IgG4 Fc fragment, which extends its half-life to approximately 5 days, allowing once-weekly subcutaneous dosing. It was FDA-approved in 2014.,Dulaglutide works by mimicking the incretin hormone GLP-1, which stimulates glucose-dependent insulin secretion, suppresses glucagon release, slows gastric emptying, and promotes satiety. The AWARD clinical trial program demonstrated significant HbA1c reductions across multiple comparator studies. The REWIND cardiovascular outcomes trial (2019) showed that dulaglutide reduced major adverse cardiovascular events (MACE) in patients with type 2 diabetes, including those without established cardiovascular disease.,Dulaglutide is FDA-approved for improving glycemic control in type 2 diabetes and for reducing major cardiovascular events in adults with type 2 diabetes who have established cardiovascular disease or multiple cardiovascular risk factors. It is available in pre-filled single-dose pens at 0.75mg, 1.5mg, 3mg, and 4.5mg strengths.

Quick Start
Route
Subcutaneous (SubQ)
Start low
0.75mg
Frequency
weekly
Timing
No specific requirement

Start here. Every protocol below is ordered lowest-first. Begin at the smallest effective dose, hold about a week to assess tolerance, and step up only if needed.

Tiered Protocols · lowest first
Quick Start
Conservative start
0.75mg · Subcutaneous (SubQ) · weekly
Lowest starting point. Hold about a week to assess tolerance before stepping up.
0.75mg
weekly
Standard
GLP-1 Titration
0.75 mg · SubQ · Weekly
human clinical trial · FDA Trulicity label
0.75 mg
Weekly
Reconstitution CalculatorU-100
050100u
Draw to
units
01

How it works

Activates the GLP-1 receptor on pancreatic beta cells, stimulating glucose-dependent insulin secretion (incretin effect) while suppressing inappropriate glucagon release from alpha cells.,Slows gastric emptying, reducing the rate of glucose absorption from the gut and contributing to postprandial glucose control and increased satiety.,Centrally acts on hypothalamic appetite centers to reduce food intake. May also have direct cardioprotective effects including reduced inflammation, improved endothelial function, and decreased atherosclerosis progression.

Activates the GLP-1 receptor on pancreatic beta cells, stimulating glucose-dependent insulin secretion (incretin effect) while suppressing inappropriate glucagon release from alpha cells.,Slows gastric emptying, reducing the rate of glucose absorption from the gut and contributing to postprandial glucose control and increased satiety.,Centrally acts on hypothalamic appetite centers to reduce food intake. May also have direct cardioprotective effects including reduced inflammation, improved endothelial function, and decreased atherosclerosis progression.

02

What to expect

Early
Days 1–7

Weeks 1-2: Blood glucose improvements begin within days. GI side effects are most common during initiation. Appetite reduction often noticeable.

03

Evidence

HumanPresent
AnimalPresent
In-vitroPresent
2019Dulaglutide and cardiovascular outcomes in type 2 diabetes (REWIND): a double-blind, randomised placebo-controlled trial · Gerstein HC, Colhoun HM, Dagenais GR, et al, Lancet ↗peer reviewed
2016Efficacy and safety of dulaglutide in the treatment of type 2 diabetes: a comprehensive review of the dulaglutide clinical data focusing on the AWARD phase 3 clinical trial program · Jendle J, Grunberger G, Blevins T, et al, Diabetes/Metabolism Research and Reviews ↗review
2021Effect of dulaglutide 3.0 and 4.5 mg on weight in patients with type 2 diabetes: Exploratory analyses of AWARD-11 · Frias JP, Bonora E, Nevárez Ruiz LA, et al, Diabetes, Obesity and Metabolism ↗peer reviewed
2020Total cardiovascular or fatal events in people with type 2 diabetes and cardiovascular risk factors treated with dulaglutide in the REWIND trial: a post hoc analysis · Gerstein HC, Hart R, Colhoun HM, et al, Cardiovascular Diabetology ↗peer reviewed
04

Interactions & stacking

What's safe to combine, and what belongs in a separate pin.

Keep separate

ALLDo not mix in same syringe. Dulaglutide is supplied in pre-filled single-use pens.
05

Pharmacokinetics

Illustrative plasma concentration · 24 h
Half-life
~5 days
Peak · Tmax
~24-72 hours SubQ
Elimination
~3-4 weeks
Activity
7 days (sustained GLP-1 receptor activation supports once-weekly dosing)

Storage. Store refrigerated at 2-8C. May be kept at room temperature (up to 30C) for up to 14 days if needed. Protect from light. Do not freeze.

06

Regulatory status

FDA-approved (2014) for type 2 diabetes glycemic control. Additional FDA indication (2020) for cardiovascular risk reduction in T2D. Also approved by EMA and regulatory agencies worldwide. Marketed as Trulicity by Eli Lilly.

Put it to work

Calculate, log & track

Open Dulaglutide straight into OnePin with your vial and dose pre-filled, then let it handle the syringe math and remind you before the vial runs out.

Open Dulaglutide in the app →

Go deeper

The guide & community

The complete Dulaglutide walkthrough, real protocol discussion and coaching live inside the BlessUp community on Skool.

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