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They lower blood sugar through several coordinated effects, including 13: Increasing insulin release when blood sugar rises Reducing glucagon, which would otherwise raise blood sugar Slowing gastric emptying, which helps limit post-meal spikes Because these effects are glucose-dependent, the risk of hypoglycemia is relatively low compared to some other diabetes medications

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Consequently, it can be inferred that SP might exert its therapeutic effects in part through the secretion of exosomes