Comparative estimate of glucose-lowering therapies on risk of incident pneumonia and severe sepsis: an analysis of real-world cohort data

Dec 7, 2024Thorax

Comparison of diabetes treatments and their link to risk of pneumonia and severe sepsis in real-world patients

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Abstract

SGLT2 inhibitors are associated with a 25% reduction in the risk of pneumonia and severe sepsis in patients with type 2 diabetes.

  • SGLT2 inhibitors are linked to a hazard ratio of 0.75 for both pneumonia and severe sepsis compared to DPP-4 inhibitors.
  • GLP-1 receptor agonists show a reduction in incident pneumonia and severe sepsis with hazard ratios of 0.60 and 0.61, respectively, when compared to DPP-4 inhibitors.
  • The findings suggest that both SGLT2 inhibitors and GLP-1 receptor agonists may provide protective benefits beyond glucose control for patients with type 2 diabetes.

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Key numbers

0.75
SGLT2i Pneumonia Risk Reduction
Hazard Ratio comparing SGLT2i vs. DPP-4i
0.60
GLP-1 RA Pneumonia Risk Reduction
Hazard Ratio comparing GLP-1 RA vs. DPP-4i
0.75
SGLT2i Severe Sepsis Risk Reduction
Hazard Ratio comparing SGLT2i vs. DPP-4i

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