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. 2020 Sep 10;45(Suppl 1):17–27. doi: 10.1111/jcpt.13230

Table 1.

GLP‐1 RAs target six of the eight core defects evident in type 2 diabetes

8 core defects in type 2 diabetes 5 GLP‐1 RAs target 6 of the 8 core defects
  1. Impaired insulin secretion

  2. Increased glucagon secretion

  3. Increased hepatic glucose

  4. Neurotransmitter dysfunction

  5. GI tract/decreased incretin effect

  6. Decreased glucose uptake

  7. Increased glucose reabsorption

  8. Increased lipolysis

  1. Enhanced appropriate pancreatic β‐cell (insulin and amylin) secretion

  2. Pancreatic α‐cell (glucagon) suppression

  3. Decreased liver glucose production

  4. Increased satiety through central nervous system

  5. Slowed gastric emptying time

  6. Increased insulin uptake in peripheral tissue via weight loss

Abbreviations: GI, gastrointestinal; GLP‐1 RA, glucagon‐like peptide‐1 receptor agonist; α, alpha; β, beta.