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Am.J Kidney Dis 2008;52(5):962-971

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The mechanism of action involves several key effects: Enhanced insulin secretion from pancreatic beta cells in a glucose-dependent manner, which helps lower blood glucose levels without causing hypoglycaemia when glucose levels are normal Suppression of glucagon release from pancreatic alpha cells, reducing hepatic glucose production Delayed gastric emptying , which slows the rate at which food leaves the stomach and enters the small intestine Increased satiety through central nervous system effects, leading to reduced appetite and food intake The delayed gastric emptying effect is particularly relevant in the perioperative setting