Type 2 & other diabetes

Gender differences in the prescription of SGLT2 inhibitors in chronic kidney disease: A real‐world database study

Diabetes Obes MetabPublished Retrospective cohort study

Authors' conclusion

Persistent gender disparities in SGLT2 inhibitor prescriptions highlight the need for healthcare providers worldwide to recognise potential gender biases and ensure equitable access to evidence-based CKD therapies. Addressing gender-based disparities is crucial for optimising CKD management globally.

Study context

Population
Individuals with chronic kidney disease (CKD) (eGFR <60 mL/min/1.73 m² at health checkups) in a large-scale real-world database in Japan
Exposure
Women vs men
Outcome
Prescription of SGLT2i
Methodological detailsreal-world database, multivariable logistic regression
  • Real-world database
  • Multivariable logistic regression

Main finding

SGLT2i prescription

Odds ratio

0.58

95% CI 0.55–0.62

Between Women and Men
OR 0.58 (95% CI 0.55–0.62)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Proportion of SGLT2i prescriptions after approval for CKD · September 2021 to February 2023

Men: increased from 0.86% to 2.10%
Women: increased from 0.34% to 0.88%

Original publication

Gender differences in the prescription of SGLT2 inhibitors in chronic kidney disease: A real‐world database study. Diabetes Obes Metab. Published 18 August 2025. doi:10.1111/dom.70020

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