Effects of glucagon-like peptide-1 receptor agonists and sodium-glucose cotransporter-2 inhibitors on cardiovascular and kidney outcomes in Asian versus White patients with type 2 diabetes mellitus

Jun 14, 2023Diabetes & metabolic syndrome

How diabetes drugs affect heart and kidney health in Asian and White patients with type 2 diabetes

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Abstract

No significant differences in treatment effects for major adverse cardiovascular events (MACE) were observed between Asian and White patients with type 2 diabetes mellitus (T2DM).

  • 22 publications from 13 randomized trials were included in the analysis.
  • For MACE, glucagon-like peptide-1 receptor agonists (GLP-1 RA) showed a hazard ratio of 0.84 (95% CI: 0.68-1.04) in Asian versus White patients.
  • Sodium-glucose cotransporter-2 inhibitors (SGLT2i) had a hazard ratio of 0.90 (95% CI: 0.72-1.13) for MACE, indicating no differences by race.
  • No differences in the treatment effects of SGLT2i on kidney outcomes were found, with a hazard ratio of 1.01 (95% CI: 0.75-1.36).
  • The study found no significant effect modification by race on cardiovascular and kidney outcomes.

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