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Successful treatment of obesity and diabetes with incretin analogue over four years in an adult with Prader–Willi syndrome

A 36‐year‐old female diabetic patient with genetically confirmed Prader–Willi syndrome had developed weight increase and severe symptomatic hyperglycaemia despite triple oral hypoglycaemic therapies. Main meals were supervised at home and when working in day care. The addition of insulin therapy induced further weight increase and hypertension with only a small improvement in glycaemia. She suffered from a thrombotic stroke.