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The primary mechanism of action involves: Stimulating insulin secretion in a glucose-dependent manner Suppressing glucagon release when blood glucose is elevated Slowing gastric emptying to promote satiety Acting on central nervous system pathways that regulate appetite For type 2 diabetes, these medications typically reduce hemoglobin A1c by 1.01.5%

Extended Timeline Support Establish funding mechanisms that support long-term investigation, allowing researchers to follow promising leads even when they diverge from original proposals

Boyer TD et al

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Moreover, it appears that it is the membrane-bound form of the enzyme, on sites such as the luminal surface of capillary endothelial cells, which is more important for GLP-1 degradation than the circulating (soluble) enzyme (74, 75), questioning the relevance of any association between the plasma activity per se and glycaemic control, since it is unclear whether changes in soluble DPP-4 activity in the circulation accurately reflect any changes in total DPP-4 activity