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Description
In the case of liraglutide, research demonstrated enhanced endothelial function via stimulation of the mammalian target of rapamycin complex 2/protein kinase B (mTORC2)/Akt pathway, resulting in increased NO production, elevated telomerase activity, and anti-apoptotic effects [115]
Curr Diabetes Rev 2014;10:302310
2025;166(2):bqae167

Reduced counterregulation could be linked to recurrent but unrecognized hypoglycaemia, changes in glucose sensing, or hormonal and metabolite signalling in the CNS

Tachyphylaxis is contingent upon a full 24-hour exposure, as evidenced by a study in which rats treated with liraglutide (with half-life of 11 15 hours) twice daily for 14 days had markedly diminished gastric emptying while those treated with exenatide (with half-life of 2 3 hours) twice daily over the same period still displayed a profound reduction in gastric emptying, although both compounds had similar effects on body weight reduction (158)

Coverage is crucial, as presently the drugs are mostly available as injections that must be temperature-controlled and can cost anywhere between US$350 to US$1,400 per month
