Type 2 & other diabetes

Association between use of sodium-glucose co-transporter-2 inhibitor and the risk of incident dementia: a population-based cohort study

BMJ Open Diabetes Res CarePublished Population-based retrospective cohort study

Main finding · Incident dementiaResult — go to the resultAdjusted hazard ratio 0.78 95% CI 0.55–1.12

Authors' conclusion

Primary findings did not yield conclusive evidence to infer an association between SGLT-2i use and the risk of incident dementia.

Study context

Population
Individuals with T2D aged ≥40 years, newly prescribed SGLT2i or DPP-4i 2013–2021, Clinical Practice Research Datalink (CPRD) Aurum database, UK
Participants
118,006 individuals
Exposure
SGLT2i vs DPP-4i
Outcome
Incident dementia
Methodological detailspropensity score fine stratification weights
  • Propensity score fine stratification weights

Main finding

As reported in the abstract

Adjusted hazard ratio

0.78

95% CI 0.55–1.12

By group

SGLT2i

0.56/1000 person-years

DPP-4i

2.67/1000 person-years

SGLT2ivs DPP-4i
adjusted HR 0.78 (95% CI 0.55–1.12)

Observational data: associations, not effects.

Secondary outcomes

OutcomeAdjusted HR (95% CI)
Incident mild cognitive impairment (MCI)0.86 (0.80–0.92)
Incident dementia, aged ≥65 yearsAge-specific stratified analysis0.50 (0.31–0.80)

Original publication

Association between use of sodium-glucose co-transporter-2 inhibitor and the risk of incident dementia: a population-based cohort study. BMJ Open Diabetes Res Care. Published 21 January 2025. doi:10.1136/bmjdrc-2024-004541

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