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Participants in the SGLT2i group demonstrated improvement in renal function with an increase in mean eGFR over the 5-year follow-up period (+3.5 ml/min per 1.73 m 2 ), compared with an overall reduction in eGFR in the GLP-1 RA cohort (7.2 ml/min per 1.73 m 2 )

10.1210/en.2014-1675 Endocrinology 29 HeppnerK

GLP-1 receptor activation stimulates glucose-dependent insulin secretion, suppresses glucagon release, reduces appetite signaling, and slows gastric emptying in research models GIP receptor activation potentiates insulin secretion in a glucose-dependent manner, modulates adipose tissue metabolism, and contributes to energy balance regulation in preclinical studies The dual incretin mechanism produces additive and potentially synergistic effects on insulin secretion and metabolic regulation compared to GLP-1 receptor activation alone

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