Diabetes research and clinical practice

Comparing weekly GLP-1 receptor agonists and other diabetes treatments in Medicare patients with type 2 diabetes and heart disease

Updated

Abstract

Among 398,470 Medicare beneficiaries, once-weekly glucagon-like peptide-1 receptor agonists (GLP-1 RAs) were associated with a reduced risk of cardiovascular events compared to other non-insulin glucose lowering therapies.

  • Once-weekly GLP-1 RAs showed a hazard ratio range of 0.72 to 0.88 for cardiovascular events, indicating a lower risk compared to other treatments.
  • Patients treated with GLP-1 RAs experienced lower healthcare resource utilization, with a 9% reduction in total medical visits related to atherosclerotic cardiovascular disease.
  • Total medical costs were also reduced by 12% among those using GLP-1 RAs compared to other therapies.
  • Semaglutide, a specific GLP-1 RA, demonstrated the lowest risk of cardiovascular outcomes when compared to SGLT2 inhibitors and DPP-4 inhibitors.

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Full Text

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Funding

Competing interests

Declaration of competing interest AdH reports NIH/NINDS funding (K23NS105924, R01NS130189, UG3NS130228, R21NS138995), has received investigator-initiated clinical research funding from the AAN, receives consultant fees from Novo Nordisk, receives royalty fees from UpToDate, and has equity in Titin KM and Certus. XT, YL, LX, CM, and CS are employees of Novo Nordisk Inc. JH and CG are employees of Genesis Research Group.
PubMed

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