Diabetes research and clinical practice

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

Updated

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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Competing interests

Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
PubMed

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