Type 2 & other diabetes

Glucagon-Like Peptide-1 Receptor Agonists and Risk for Depression in Older Adults With Type 2 Diabetes : A Target Trial Emulation Study

Ann Intern MedPublished Target trial emulation study

Authors' conclusion

Among older adults with T2D, the incidence of depression was relatively low. Use of GLP-1RAs was associated with a modestly lower risk for depression compared with use of DPP4is, but not SGLT2is.

Study context

Population
Adults aged ≥66 years with T2D, U.S. National Medicare administrative data, January 2014 to December 2020matched pairs
Comparison
GLP-1 RA initiation vs SGLT2i or DPP-4i initiation
Outcome
Incident depression
Methodological detailspropensity-score matched 1:1
  • Propensity-score matched 1:1

Main finding

As reported in the abstract

Rate difference, per 1000 person-years (95% CI)
GLP-1RAvs SGLT2i14 665 matched pairs
3.48(−0.81 to 7.78)
GLP-1RAvs DPP4i13 711 matched pairs
−5.78(−10.49 to −1.07)
Hazard ratio (95% CI)
GLP-1RAvs SGLT2i14 665 matched pairs
1.07(0.98–1.18)
GLP-1RAvs DPP4i13 711 matched pairs
0.90(0.82–0.98)

Original publication

Glucagon-Like Peptide-1 Receptor Agonists and Risk for Depression in Older Adults With Type 2 Diabetes : A Target Trial Emulation Study. Ann Intern Med. Published 25 February 2025. doi:10.7326/annals-24-01347

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