Comparative outcomes of adding SGLT2 inhibitors versus incretin-based therapies to insulin in type 2 diabetes

Jun 18, 2025Diabetes research and clinical practice

Comparing the effects of adding SGLT2 inhibitors or incretin-based treatments to insulin in type 2 diabetes

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Abstract

SGLT2 inhibitor use was associated with significantly lower risks of major microvascular complications compared to both DPP-4 inhibitors and GLP-1 receptor agonists.

  • SGLT2 inhibitors reduced the risk of major microvascular complications by 63% compared to DPP-4 inhibitors.
  • SGLT2 inhibitors also decreased the risk of major microvascular complications by 43% compared to GLP-1 receptor agonists.
  • Compared to DPP-4 inhibitors, SGLT2 inhibitors were linked to a 43% lower risk of major adverse cardiovascular events.
  • A 58% lower risk of all-cause mortality was associated with SGLT2 inhibitor use compared to DPP-4 inhibitors.

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