Effect of SGLT‐2 inhibitors on COPD exacerbations in individuals with type 2 diabetes: A meta‐analysis and Bayesian sensitivity analysis

Jul 2, 2025Journal of diabetes investigation

SGLT-2 inhibitors and flare-ups of lung disease in people with type 2 diabetes: A combined and sensitivity analysis

AI simplified

Abstract

reduced risk by 39% in patients with Type 2 diabetes.

  • Seven studies with 449,530 participants were analyzed for the effects of SGLT-2 inhibitors on COPD exacerbations in individuals with Type 2 diabetes.
  • The pooled analysis indicated a reduced risk of COPD exacerbations with SGLT-2 inhibitors, demonstrating a hazard ratio of 0.609.
  • Bayesian analysis corroborated a 31% reduction in exacerbation risk with a hazard ratio of 0.64.
  • Subgroup analyses revealed SGLT-2 inhibitors were more effective than DPP-4 inhibitors and sulfonylureas in reducing exacerbations.
  • No significant reduction in severe COPD exacerbations was observed, with a hazard ratio of 0.676.
  • High heterogeneity among studies was noted, but sensitivity analyses confirmed the robustness of the findings.

AI simplified

Key numbers

39%
Reduction in Risk
Pooled hazard ratio for COPD exacerbations in T2DM patients using .
0.618
Pooled Hazard Ratio vs. DPP-4 Inhibitors
Hazard ratio comparing to DPP-4 inhibitors for COPD exacerbations.
0.620
Pooled Hazard Ratio vs. Sulfonylureas
Hazard ratio comparing to sulfonylureas for COPD exacerbations.

Full Text

We can’t show the full text here under this license. Use the link below to read it at the source.

what lands in your inbox each week:

  • 📚7 fresh studies
  • 📝plain-language summaries
  • direct links to original studies
  • 🏅top journal indicators
  • 📅weekly delivery
  • 🧘‍♂️always free