Sodium-Glucose Cotransporter2 inhibitors and associated Liver-Related outcomes in diabetes patients

Apr 14, 2025Diabetes research and clinical practice

SGLT2 Inhibitors and Their Link to Liver Health in People with Diabetes

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Abstract

Sodium-glucose cotransporter-2 inhibitor (SGLT-2i) use is associated with a 52% lower risk of all-cause mortality in type 2 diabetes patients.

  • SGLT-2i users showed a significantly lower risk of liver cirrhosis (adjusted hazard ratio [aHR] 0.78).
  • The risk of decompensated cirrhosis was also lower in SGLT-2i users (aHR 0.79).
  • SGLT-2i use was linked to a reduced risk of liver failure (aHR 0.78).
  • Comparisons with other antidiabetic medications indicated that SGLT-2i was associated with lower risks of cirrhosis and liver failure.
  • SGLT-2i users experienced lower liver-related mortality compared to those using dipeptidyl peptidase-4 inhibitors or glucagon-like peptide-1 receptor agonists.

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