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Metabolic effects of glutamine on insulin sensitivity

It works as a glucagon-like peptide-1 (GLP-1) receptor agonist, which helps regulate blood sugar levels by enhancing insulin secretion, slowing gastric emptying, and reducing appetite

and Schemann, M., 2007

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However, in the AWARD 7 trial, a dedicated 52-week trial of dulaglutide in patients with diabetic kidney disease, stage 3-4, the decline with time was significantly reduced compared with insulin glargine [29]