Saxagliptin is primarily used in the management of type 2 diabetes. It works by enhancing the body's ability to lower blood sugar levels after meals. This is achieved through the inhibition of the DPP-4 enzyme, which increases the levels of incretin hormones that stimulate insulin release in response to meals. It is often prescribed as part of a comprehensive treatment plan that includes diet and exercise. Saxagliptin can be used alone or in combination with other diabetes medications, such as metformin, to improve glycemic control. It is particularly beneficial for patients who need an oral medication that has a lower risk of causing hypoglycemia compared to some other diabetes treatments. Regular monitoring of blood sugar levels is recommended to ensure the effectiveness of the therapy.