It has multiple actions including: potentiation of glucose-mediated insulin secretion mechanisms identified: increased -cell proliferation, resulting in an increase -cell mass (Fusco et al, 2017) stimulation of insulin biosynthesis at the translational level, helping to maintain -cell insulin stores and secretory capacity (Baggio & Drucker, 2007) because the GLP-1 effect is glucose-dependent (there is more insulin release when glucose levels are elevated, but less effect when glucose levels are normal), GLP-1 agonists have a lower risk for producing hypoglycemia compared to sulfonylureas (that chronically stimulate insulin release, independent of glucose concentration) suppression of postprandial glucagon release Evidence indicates that stimulation of pancreatic cells by GLP-1 increases their glucose sensitivity, resulting in less glucagon release at any glucose level (Baggio & Drucker, 2007)
The connection to venom is therefore historical and inspirational rather than practical
That doesnt mean it hasnt happened, I have just not observed it
In animal experiments, GLP-1RAs induce frequent vomiting, whereas GIP receptor agonists do not
Patients also have the option to forego insurance and pay out-of-pocket for the medication
10.3390/antiox13101246 50 MaH.HuangW.WangX.ZhaoL.JiangY.LiuF.et al (2020)