[Innovative therapeutic drug combination for type 2 diabetes at cardiorenal risk].

Rev Med Suisse

Service de diabétologie, nutrition et maladies métaboliques, Département de médecine, Centre hospitalier universitaire de Liège, 4000 Liège, Belgique.

Published: August 2024

Both glucagon-like peptide-1 receptor agonists (GLP-1RA) and sodium-glucose cotransporter 2 inhibitors (SGLT2i) improve cardiorenal -prognosis of at-risk patients with type 2 diabetes thanks to pleiotropic effects that are either common or specific. This article discusses the clinical efficacy of a combined therapy with the two medications. Data were obtained from post hoc analyses of subgroups of participants to cardiovascular outcome trials and from real-life observational retro-spective cohort studies. The reported superiority of the combination versus either monotherapy should be confirmed in an ongoing large prospective trial (PRECIDENTD). The extra-cost of such a combined therapy as well as the common underuse of each pharmacological class in daily clinical practice deserve attention.

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Source
http://dx.doi.org/10.53738/REVMED.2024.20.884.1492DOI Listing

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