BMJ open diabetes research & care

Recent trends in the use of diabetes drugs GLP-1 receptor agonists and SGLT2 inhibitors among people with type 2 diabetes and heart artery disease in the USA

Updated

Abstract

Prevalent use of GLP-1 receptor agonists and/or SGLT2 inhibitors increased from 9.2% in 2018 to 27.1% in 2022 among patients with type 2 diabetes and atherosclerotic cardiovascular disease.

  • Eligible annual patient numbers for the study ranged from 279,474 to 348,997 during the analysis period.
  • The use of GLP-1 receptor agonists alone rose from 5.2% to 9.9% between 2018 and 2022.
  • Sodium-glucose cotransporter 2 inhibitor use alone increased from 2.8% to 12.2% over the same period.
  • Incident use of GLP-1 receptor agonists and/or SGLT2 inhibitors following a new diagnosis of atherosclerotic cardiovascular disease grew from 5.9% to 17.0% from 2018 to 2022.
  • For GLP-1 receptor agonists alone, incident use rose from 3.6% to 7.8%, while SGLT2 inhibitors alone increased from 1.8% to 7.0%.

Simplified

Key numbers

27.1%
Increase in GLP-1 RA and SGLT2i Use
Proportion of patients with T2D and ASCVD prescribed GLP-1 RAs or SGLT2is in 2022.
17.0%
Incident Use After ASCVD Diagnosis
Proportion of patients with T2D newly prescribed GLP-1 RAs or SGLT2is in 2022 after ASCVD diagnosis.
9.2%
Prevalent Use in 2018
Proportion of patients with T2D and ASCVD prescribed GLP-1 RAs or SGLT2is in 2018.

Full Text

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Funding

Competing interests

Competing interests: AK: Paid speaker and clinical advisor for Astellas Pharma, Abbott, Dexcom, Eli Lilly, MannKind and Novo Nordisk. XT: Employee of Novo Nordisk. ND: Employee of TriNetX LLC. RB: No conflicts of interest. KD: Consultant of TriNetX LLC. CEL: CEL reports NIH funding. CEL is a special government employee of the US Food and Drug Administration. CEL recently received honoraria from the American College of Clinical Pharmacy Foundation and the Consortium for Medical Marijuana Clinical Outcomes Research. CEL consults for Novo Nordisk and TriNetX, LLC. CEL’s spouse is employed by Merck; neither she nor he own stock in the company. AdH: AdH reports NIH funding, consultant fees from Novo Nordisk, royalty fees from UpToDate, and has equity in Titin KM and Certus.
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