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For patients and providers focusing on substantial A1C reduction, GLP-1 agonists may be the preferred option

They can process peptide hormones into bioactive products ( in vitro , the expression of Pdx1 in primary pancreatic islets decreases, intervention with liraglutide can significantly increase the secretion of Pdx1, while GLP-1R inhibitors can counteract this effect ( Berberine is a bioactive component of huanglian (Coptis chinensis Franch.), which has extensive pharmacological effects and is widely used in the treatment of digestive and endocrine system diseases in clinical practice ( In this experiment, we used in vivo and in vitro experiments and explored the process of berberine improving the function of islet cell by stimulating the endocrine and paracrine GLP-1 in intestinal L cell and islet cell and activating the GLP-1R/PKA signaling pathway

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