Glucagonlike peptide‐1 receptor agonists versus dipeptidyl peptidase‐4 inhibitors in ischemic strokes with diabetes 2

May 8, 2024European journal of neurology

Glucagon-like peptide-1 receptor agonists compared to dipeptidyl peptidase-4 inhibitors in people with type 2 diabetes and ischemic stroke

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Abstract

The absolute risk of a very severe stroke was 2.4% in patients with type 2 diabetes treated with GLP-1 receptor agonists compared to 6.1% for those treated with DPP-4 inhibitors.

  • Users of GLP-1 receptor agonists had a lower risk of very severe stroke than users of DPP-4 inhibitors, with an adjusted risk ratio of 0.49.
  • The adjusted risk ratio for 30-day mortality in GLP-1RA users was 0.55, indicating a potential reduction in short-term mortality.
  • For 365-day mortality, the adjusted risk ratio was 0.72, suggesting a possible decrease in long-term mortality among GLP-1RA users.
  • Findings indicate that treatment with GLP-1 receptor agonists may be associated with improved outcomes after an in patients with type 2 diabetes.

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Key numbers

2.4%
Absolute Risk of Very Severe Stroke
Absolute risk in GLP-1RA users compared to DPP-4i users.
3.9%
30-Day Mortality Rate
Mortality rate for GLP-1RA users compared to 10.0% for DPP-4i users.
0.49
Adjusted Risk Ratio for Very Severe Stroke
Adjusted risk ratio for GLP-1RA vs. DPP-4i users.

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