Semaglutide belongs to a class of drugs called glucagon-like peptide-1 receptor agonists (GLP-1-RAs). GLP-1-RAs work by mimicking the action of the hormone GLP-1, which helps regulate blood sugar levels by increasing insulin secretion and reducing the production of glucose in the liver [1].
As a GLP-1-RA, semaglutide targets GLP-1 receptors found in the pancreatic beta cells, liver cells, and brain cells. Researchers have observed a number of beneficial effects upon semaglutide’s activation of the GLP-1 receptor, including increased insulin secretion, glucagon inhibition, slowed gastric emptying, and increased satiety [1].
How Semaglutide Improves Blood Sugar Control
Semaglutide increases insulin secretion from pancreatic beta cells in response to elevated blood sugar levels. This enhanced insulin release helps transport glucose from the bloodstream into cells, where it can be utilized for energy or stored for later use. By increasing insulin availability, semaglutide helps lower blood sugar levels, especially after meals [2].
Some studies suggest that GLP-1-RAs, including semaglutide, may improve the sensitivity of cells to insulin. This means that even at lower insulin levels, the body’s cells can respond more effectively to insulin, further aiding in blood sugar regulation [2].
In addition to enhancing insulin secretion, semaglutide also inhibits the production and release of glucagon—a hormone that works opposite to insulin. Glucagon raises blood sugar levels by promoting the release of stored glucose from the liver. By reducing glucagon levels, semaglutide helps prevent excessive glucose production, contributing to better blood sugar control [1].
How Semaglutide Causes Weight Loss
The mechanisms through which semaglutide promotes weight loss may be summed up in three parts [3]:
- Increased Satiety. Semaglutide acts on the brain’s appetite-regulating centers, leading to increased feelings of fullness (satiety) and reduced appetite. This can result in decreased food intake and a reduced desire to eat, which contributes to weight loss.
- Slowed Gastric Emptying. Semaglutide slows down emptying of the stomach, which can help people feel fuller for longer periods after meals. By delaying the entry of nutrients into the small intestine, semaglutide reduces the rapid spikes in blood sugar levels after eating, helping to control hunger and reduce food consumption.
- Reduced Caloric Intake. Due to the increased satiety and reduced appetite, semaglutide therapy recipients may naturally consume fewer calories, leading to weight loss over time.