Answer
In metformin + sitagliptin (Janumet), sitagliptin inhibits DPP-4, increasing active GLP-1 and GIP to enhance insulin synthesis and release when glucose is normal or elevated, while GLP-1 reduces glucagon and liver glucose production; when glucose is low, insulin release is not enhanced and glucagon secretion is not suppressed.
Sources for this answer
- Janumet 50 mg/1000 mg film-coated tabletsMerck Sharp & Dohme (UK) Limited · emc · SmPC §5.1 Pharmacodynamic properties · Version 26Document updated
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