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17 In addition to these findings, the SUSTAIN-6 trial also showed that semaglutide can offer a significant reduction in the risk of new or worsening nephropathy including persistent macroalbuminuria, increase in serum creatinine or the need of renal replacement therapy

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5.1 GIP and GLP-1 effects on pancreas 5.1.1 Effects on pancreatic -cell insulin secretion and survival Activation of either GIPR or GLP-1R on pancreatic -cells initiates distinct yet overlapping downstream signaling cascades that ultimately amplify glucose-stimulated insulin secretion