Dipeptidyl peptidase 4 inhibitors, sodium glucose cotransporter 2 inhibitors, and glucagon-like peptide 1 receptor agonists do not worsen diabetic macular edema

Jul 17, 2024Journal of diabetes and its complications

Common diabetes medicines do not make diabetic eye swelling worse

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Abstract

The hazard ratio for developing diabetic macular edema (DME) was 1.2 for DPP-4i use, indicating no significant association.

  • DPP-4i use showed a hazard ratio of 1.2 (confidence interval 0.75 to 1.99; p = 0.43) for developing DME.
  • GLP-1 receptor agonist use had a hazard ratio of 0.93 (confidence interval 0.54 to 1.61; p = 0.81) for DME occurrence.
  • SGLT2-i use resulted in a hazard ratio of 0.82 (confidence interval 0.20 to 3.34; p = 0.78) regarding DME risk.
  • Any use of one medication had a hazard ratio of 1.1 (confidence interval 0.75 to 1.59; p = 0.66) for DME development.
  • The findings suggest no significant association between the use of these medications and the increased hazard of developing DME among patients with diabetic retinopathy.

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