Metformin’s Hidden Brain Mechanism: How the Hypothalamus Controls Blood Sugar
TL;DR: Metformin’s glucose-lowering effect depends on a brain signaling pathway—it inhibits Rap1 in the hypothalamus, activating neurons that tell the liver to stop overproducing glucose. For decades, metformin has been the first-line drug for type 2 diabetes, working so reliably that millions take it daily. Yet its precise mechanism—how it actually lowers blood sugar—has remained …
