Osteoporosis, bone & mineral

Decreased risk of new-onset osteoporosis in patients with Type 2 diabetes on SGLT-2 inhibitors

Diabetes MetabPublished Population-based cohort study

Main finding · Incident osteoporosisResult — go to the resultAdjusted hazard ratio 0.82 95% CI 0.79–0.84

Authors' conclusion

In real-world settings, patients with T2D treated with SGLT2is had a lower risk of NOO than those not using SGLT2is.

Study context

Population
Patients with T2D, Taiwan's National Health Insurance Research Database, 2016 to 2022matched cohort
Participants
309,747 vs 619,494
Exposure
SGLT2i use vs no SGLT2i use
  • SGLT2in = 309,747
  • Non-SGLT2in = 619,494reference
Outcome
New-onset osteoporosis (NOO)
Methodological detailsmatched 1:2 on age, sex and T2D duration, sensitivity analysis with 1:1 propensity score matching
  • Matched 1:2 on age, sex and T2D duration
  • Sensitivity analysis with 1:1 propensity score matching

Main finding

Incident osteoporosis

Adjusted hazard ratio

0.82

95% CI 0.79–0.84

SGLT2ivs Non-SGLT2i
aHR 0.82 (95% CI 0.79–0.84)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeaHR (95% CI)
Osteoporosis, sensitivity analysis with 1:1 propensity score matching0.83 (0.80–0.86)
  • Osteoporosis, sensitivity analysis with 1:1 propensity score matching: 274,329 patients per group

Incidence of new-onset osteoporosis (NOO) over time (Kaplan-Meier)

SGLT2i users had a lower incidence of NOO

Original publication

Decreased risk of new-onset osteoporosis in patients with Type 2 diabetes on SGLT-2 inhibitors. Diabetes Metab. Published 24 June 2026. doi:10.1016/j.diabet.2026.101778

Composed by AI from the published abstract and checked against it. How Briefs are made →

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