Effectiveness and safety of sodium‐glucose co‐transporter‐2 inhibitors compared with dipeptidyl peptidase‐4 inhibitors in older adults with type 2 diabetes: A nationwide population‐based study

Nov 25, 2020Diabetes, obesity & metabolism

Effectiveness and safety of two diabetes medicines in older adults with type 2 diabetes: SGLT2 inhibitors versus DPP-4 inhibitors

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Abstract

New users of had a lower risk of hospitalization for heart failure, all-cause death, and stroke compared to .

  • SGLT2 inhibitors are associated with a reduced risk of hospitalization for heart failure ( 0.86).
  • All-cause mortality is lower in patients using SGLT2 inhibitors compared to those on DPP-4 inhibitors (HR 0.85).
  • The risk of stroke is lower for new users of SGLT2 inhibitors (HR 0.86).
  • No significant difference in the risk of myocardial infarction was observed between the two groups (HR 0.95).
  • Similar rates of diabetic ketoacidosis, bone fracture, and severe hypoglycaemia were found in both groups.
  • Increased risks of genital infections (HR 2.44) and urinary tract infections (HR 1.05) were noted in patients using SGLT2 inhibitors.

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Key numbers

0.86
Lower risk of hospitalization for heart failure
Hazard Ratio for hospitalization for heart failure with vs.
0.85
Lower risk of all-cause death
Hazard Ratio for all-cause death with vs.
2.44×
Higher risk of genital infection
Hazard Ratio for genital infection with vs.

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