Extra weight and insulin resistance reduce GLP-1 secretion as well as beta cell (insulin-secreting cells in the pancreas) responsiveness
That said, clinicians have taken detailed looks at how different dosages affect diabetes symptom management
Patients should regularly check their blood glucose readings to guard against both hyperglycemia (high blood sugar) and hypoglycemia (low blood sugar)
doi: 10.1007/s40620-015-0258-1
Clinical observations show that the majority of users experience improvement by week 46 as their bodies adapt to the medication's effects on appetite, metabolism, and blood sugar control
Semaglutide is, fundamentally, a type 2 diabetes treatment, so on a cellular level, Wegovy also helps increase insulin secretion and control blood sugar, which also helps with appetite control, and in turn weight loss