How does Tirzepatide work?
Tirzepatide works through a dual mechanism of action involving both the glucose-dependent insulinotropic peptide (GIP) and glucagon-like peptide-1 (GLP-1) pathways. As a dual GIP and GLP-1 receptor agonist, Tirzepatide binds to and activates these receptors in the body. GIP receptors are located in the pancreas and play a role in insulin secretion in response to food intake. By stimulating GIP receptors, Tirzepatide enhances insulin release from pancreatic beta cells, which helps lower blood glucose levels after meals.
In addition to its effects on GIP receptors, Tirzepatide also targets GLP-1 receptors. GLP-1 receptors are found in various tissues, including the pancreas, brain, and gastrointestinal tract. Activation of GLP-1 receptors promotes insulin secretion and inhibits glucagon release from pancreatic alpha cells. This dual action results in improved glycemic control by reducing both fasting and postprandial (after meal) blood glucose levels. Furthermore, GLP-1 receptor activation slows gastric emptying, leading to a feeling of fullness and decreased appetite, which can contribute to weight loss in some patients.
Tirzepatide's combined effects on insulin secretion, glucagon inhibition, and appetite regulation make it a potent option for the treatment of type 2 diabetes mellitus. By harnessing the synergistic actions of GIP and GLP-1 pathways, Tirzepatide helps patients achieve better control over their blood sugar levels while potentially supporting weight management efforts.