How to handle upserts?

In `SandboxMetadataDB.insert` there is a need for upserting to set the last update time if the entry already exists. I suspect this isn't a unique case so it would be nice to have a standard way to do it.

I think we can `on_conflict_do_update` but it might need to be a utility function as I'm not sure about the SQL-dialect-specificness of it.

If it does need to be a utility function, perhaps it should be limited to only supporting setting a "last access time" style column.