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They improve glycemic control through several mechanisms: Increasing insulin secretion from pancreatic beta cells in a glucose-dependent manner Suppressing inappropriately high glucagon secretion Slowing gastric emptying which stabilizes blood glucose excursions Supporting beta cell proliferation to help preserve insulin production over time Reducing appetite and calorie intake leading to weight loss In patients with type 2 diabetes not meeting glycemic targets on other oral medications like metformin, adding a GLP-1 drug allows many to achieve hemoglobin A1c reductions of 0.7-1.6%.(40) This significantly improves diabetes control and lowers risks of long-term vascular complications
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