Cardiometabolic & kidney

Use of sodium–glucose co-transporter 2 inhibitors and glucagon-like peptide-1 receptor agonists according to the 2019 European Society of Cardiology (ESC) guidelines and the 2019 American Diabetes Association (ADA)/European Association for the Study of Diabetes (EASD) consensus report in a national population of patients with type 2 diabetes

Eur J Prev CardiolPublished Cross-sectional study

Authors' conclusion

In this nationwide study, the proportion of patients with type 2 diabetes who were recommended treatment with an SGLT2 inhibitor or a GLP-1 receptor agonist was approximately 80% according to the 2019 ESC guidelines and around half according to the 2019 ADA/EASD consensus report. Uptake of these recommendations in routine clinical practice was limited.

Study context

Population
Patients with T2DM in the Swedish National Diabetes Register (2020–21)
Participants
435,000 patients
Exposure
2019 ESC guidelines vs 2019 ADA/EASD consensus report
Outcome
Treatment eligibility for, and received treatment with, SGLT2 inhibitors and GLP-1 receptor agonists
Methodological detailsnationwide, Swedish National Diabetes Register
  • Nationwide
  • Swedish National Diabetes Register

Main finding

As reported in the abstract

Recommended any of the two drugs

Recommended any of the two drugs

SGLT2 inhibitors

SGLT2 inhibitors or GLP-1 receptor agonists 2019 ESC guidelines 40.9%

GLP-1 receptor agonists

Observational data: associations, not effects.

Further findings

Received recommended treatment (among those recommended)

Original publication

Use of sodium–glucose co-transporter 2 inhibitors and glucagon-like peptide-1 receptor agonists according to the 2019 ESC guidelines and the 2019 ADA/EASD consensus report in a national population of patients with type 2 diabetes. Eur J Prev Cardiol. Published 30 December 2022. doi:10.1093/eurjpc/zwac315

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

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