End-stage renal diseases associated with SGLT2 inhibitors versus GLP-1 receptor agonists in metabolic dysfunction-associated steatotic liver disease

Sep 25, 2025Diabetes research and clinical practice

End-stage kidney disease linked to SGLT2 inhibitors versus GLP-1 receptor agonists in fatty liver disease with metabolism problems

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Abstract

SGLT2 inhibitors are associated with a 33% lower risk of end-stage renal disease compared to GLP-1 receptor agonists in patients with chronic kidney disease.

  • In patients without chronic kidney disease, SGLT2 inhibitors showed a 68% reduced risk of end-stage renal disease compared to GLP-1 receptor agonists.
  • Incidence rates of end-stage renal disease were 20.3 events per 1,000 person-years for SGLT2 inhibitors and 30.0 for GLP-1 receptor agonists in the chronic kidney disease cohort.
  • For those without chronic kidney disease, the incidence rates were 0.9 events per 1,000 person-years for SGLT2 inhibitors and 2.5 for GLP-1 receptor agonists.
  • The findings suggest that the use of SGLT2 inhibitors may provide renal protection in patients with metabolic dysfunction-associated steatotic liver disease, regardless of chronic kidney disease status.

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