Type 2 & other diabetes

A Real‐World Cohort Study on the Association of the Use of Sodium‐Glucose Cotransporter‐2 Inhibitor With the Incidence of Chronic Kidney Disease ( Chronic Kidney Disease (CKD) ) in Patients With Type 2 Diabetes Mellitus Without CKD Using the SingHealth Diabetes Registry

Diabetes Obes MetabPublished Retrospective cohort study

Main finding · Incident CKDResult — go to the resultOdds ratio 0.36 95% CI 0.31–0.42

Authors' conclusion

SGLT2i use in individuals with T2D and preserved renal function was associated with lower CKD incidence, suggesting its potential preventive role in non-CKD population.

Study context

Population
Patients with T2D without CKD (baseline estimated glomerular filtration rate (eGFR) ≥ 60 mL/min/1.73 m² and urinary albumin-to-creatinine ratio (uACR) < 30 mg/g), SingHealth Diabetes Registry, 2016–2023; matched on age, gender, housing type, BMI, HbA1c, baseline eGFR, RAS inhibitors, metformin and GLP-1 RAanalysed after propensity score matching (PSM)
Participants
4,450 patients
Exposure
SGLT2i users vs non-users
  • SGLT2i usersn = 2,225
  • Non-usersn = 2,225reference
Outcome
Incident CKD
Methodological detailspropensity score matching, multi-ethnic Asian population
  • Propensity score matching
  • Multi-ethnic Asian population

Main finding

As reported in the abstract

Odds ratio

0.36

95% CI 0.31–0.42

P < 0.001

SGLT2i usersvs Non-users
OR 0.36 (95% CI 0.31–0.42); P < 0.001

Observational data: associations, not effects.

Secondary outcomes

Baseline eGFR · median baseline

eGFR and uACR change over time

Slower rate of GFR decline and lower uACR increase over time in SGLT2i users

Original publication

A Real‐World Cohort Study on the Association of the Use of Sodium‐Glucose Cotransporter‐2 Inhibitor With the Incidence of Chronic Kidney Disease ( CKD ) in Patients With Type 2 Diabetes Mellitus Without CKD Using the SingHealth Diabetes Registry. Diabetes Obes Metab. Published 20 July 2026. doi:10.1111/dom.71137

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

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