Diabetes research and clinical practice

Infection risk with GLP-1 versus SGLT2 diabetes drugs in people with advanced kidney disease

Updated

Abstract

GLP-1 receptor agonist use was associated with a modest increase in overall infection risk compared to SGLT2 inhibitors.

  • The overall infection risk was higher in patients using GLP-1 receptor agonists, with a hazard ratio of 1.04.
  • Increased risks were specifically noted for biliary tract infections (HR 1.37), catheter-related infections (HR 1.34), and infective endocarditis (HR 1.31).
  • No significant differences in infection risk were found for pneumonia, sepsis, or urinary tract infections.
  • Subgroup analyses indicated consistent trends across various demographic factors like age, sex, BMI, and cardiovascular status.

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Funding

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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