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Albiglutide + metformin is a combination therapy used for the management of type 2 diabetes mellitus. This drug regimen consists of albiglutide, a once-weekly, injectable glucagon-like peptide-1 (GLP-1) receptor agonist, and metformin, an oral biguanide that improves insulin sensitivity and reduces hepatic glucose output. Albiglutide acts by binding and activating GLP-1 receptors, stimulating insulin secretion in a glucose-dependent manner, inhibiting glucagon release, and slowing gastric emptying; metformin decreases hepatic gluconeogenesis and enhances peripheral glucose uptake. This combination is used either when metformin alone fails to adequately control glycemia or as part of broader antidiabetic regimens, and clinical trials show significant improvement in HbA1c and fasting plasma glucose compared with either monotherapy or alternative add-on treatments[1][3][4][5]. The combination is associated with mild weight reduction and a lower risk of hypoglycemia versus sulfonylurea combinations. Albiglutide development and commercialization were primarily conducted by GSK; metformin is generic and manufactured globally.
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