Meta-analysis

Sodium-glucose co-transporter 2 inhibitors and new-onset diabetes in cardiovascular or kidney disease

Eur Heart JPublished

  • Pooled participant-level analysis of the DAPA-HF and DELIVER randomised trials and trial-level meta-analysis of randomised trials
  • placebo-controlled

Authors' conclusion

SGLT2i reduced the incidence of new-onset diabetes among individuals with cardiovascular or kidney disease.

Study context

Population
Adults with heart failure (HF) (across the left ventricular ejection fraction (LVEF) spectrum) or other CVD or kidney disease, without diabetes at baselinepooled DAPA-HF and DELIVER
Participants
5,623 adults
Comparison
SGLT2i vs placebo
Outcome
New-onset diabetes (new initiation of glucose-lowering therapy during follow-up)

Pooled result

New-onset diabetes (pooled DAPA-HF and DELIVER)

Hazard ratio

0.67

95% CI .49-.91

P = 0.012

As reported in the abstract

Further pooled results

OutcomeHR (95% CI)P value
New-onset diabetes, trial-level meta-analysis (7 RCTs, n = 17 855, CVD or kidney disease) · 26% reduction; consistent across trials0.74 (.65-.85)P < 0.001

Original publication

Sodium-glucose co-transporter 2 inhibitors and new-onset diabetes in cardiovascular or kidney disease. Eur Heart J. Published 21 November 2024. doi:10.1093/eurheartj/ehae780

Summarised from the published abstract; every number is checked against it