Pharmacology · single question

Which medication increases beta pancreatic cell sensitivity to glucose (insulin secretagogue)?

  1. Metformin
  2. Sulfonylureas
  3. Both A and B
  4. GLP-1 agonists only
Show answer and explanation

Correct answer: B. Sulfonylureas

SULFONYLUREAS (glipizide, glyburide, glimepiride) stimulate insulin secretion by binding to ATP-sensitive K+ channels on beta pancreatic cells, causing depolarization and insulin release — they INCREASE SENSITIVITY/STIMULATION of beta cells to secrete insulin. METFORMIN primarily decreases HEPATIC GLUCOSE PRODUCTION and improves peripheral insulin sensitivity — it does NOT stimulate beta cells. So sulfonylureas specifically increase beta cell insulin secretion. B is correct.

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