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03 June 2025 : Database Analysis  

Benefits of Sodium-Glucose Cotransporter-2 Inhibitors with Renin-Angiotensin System Blockers in Type-2 Diabetes: A Cohort Analysis

Ming-Hsien Tsai ADE 1, Mingchih Chen ORCID logo CD 2, Yen-Chun Huang C 3, Wei-Shan Chang ORCID logo C 4, Kai-Yuan Hsiao C 4, Hung-Hsiang Liou A 5, Yu-Wei Fang ORCID logo AEF 6*

DOI: 10.12659/MSM.947153

Med Sci Monit 2025; 31:e947153

Table 4 Demographic and clinical characteristics in TriNetX.

VariablesAfter propensity score matching
SGLT2i (n=41,411)DPP4i users (n=41,411)p value
 Male21,872 (52.8)21,951 (53.0)0.582
 Female18,947 (45.8)18,877 (45.6)0.582
Age at Index (years), Mean±SD62.3±10.062.2±10.90.387
Comorbidities, n (%)
Hypertension35,153 (84.9)34,990 (84.5)0.116
 Ischemic heart disease9,488 (22.9)9,491 (22.9)0.980
 Arrhythmia11,541 (27.9)11,483 (27.7)0.428
 Arial fibrillation3,450 (8.3)3,383 (8.2)0.397
 Stroke3,581 (8.6)3,468 (8.4)0.159
 COPD2,682 (6.5)2,620 (6.3)0.379
 Asthma3,741 (9.0)3,640 (8.8)0.218
 Peptic ulcer216 (0.5)192 (0.5)0.234
 Dyslipidemia30,476 (73.6)30,358 (73.3)0.353
 Gout1,896 (4.6)1,856 (4.5)0.504
 Liver cirrhosis715 (1.7)665 (1.6)0.175
 β-blockers15,737 (38.0)15,508 (37.4)0.101
 CCB12,693 (30.7)12,566 (30.3)0.338
 Alpha-blockers3,522 (8.5)3,427 (8.3)0.234
 Diuretic18,467 (44.6)18,283 (44.2)0.198
 Antithrombotic1,527 (3.7)1,539 (3.7)0.803
 Insulin16,976 (41.0)17,014 (41.1)0.788
 Other OHA
  Sulfonylureas21,055 (50.8)20,815 (50.3)0.065
  Thiazolidinedione18,364 (44.3)18,368 (44.4)0.970
 Acarbose3,845 (9.3)3,789 (9.2)0.461
 Lipid-lowering agents29,731 (71.8)29,606 (71.5)0.335
 Urate-lowering agents2,328 (5.6)2,277 (5.5)0.439
 NSAID465 (1.1)479 (1.2)0.615
 Sedative-hypnotics7,197 (17.4)7,062 (17.1)0.170
SGLT2i – sodium-glucose cotransporter 2 inhibitors; DPP4i – dipeptidyl peptidase-4 inhibitor; COPD – chronic obstructive pulmonary disease; CCIS – Charlson comorbidity index score; CCB – calcium channel blockers; OHA – oral hypoglycemic agent; NSAID – non-steroidal anti-inflammatory drug.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750