Type 2 & other diabetes

Sodium‐glucose cotransporter 2 inhibitors and the risk of Parkinson disease in real‐world patients with type 2 diabetes

Diabetes Obes MetabPublished Retrospective cohort study

Main finding · Incident PDResult — go to the resultHazard ratio 0.70 95% CI 0.55–0.89

Authors' conclusion

Compared to DPP4 inhibitors, SGLT2 inhibitors were associated with a significantly lower risk of incident PD in older populations with T2D.

Study context

Population
Medicare fee-for-service beneficiaries ≥65 years with T2D and without pre-existing Parkinson disease (PD), 2016–2020; mean age 75 ± 7 years, 52% women
Participants
89,330 eligible beneficiaries
Exposure
SGLT2i initiation vs DPP-4i initiation
Outcome
Risk of PD
Methodological details1:1 propensity score matching, Medicare claims data
  • 1:1 propensity score matching
  • Medicare claims data

Main finding

Incident PD

Hazard ratio

0.70

95% CI 0.55–0.89

By group

SGLT2 inhibitorvs DPP4 inhibitor
HR 0.70 (95% CI 0.55–0.89)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Incident PD, overall cohort · over follow-up

Incident PD among all eligible beneficiaries
0.6% (n = 537)

Incident PD by subgroup (non-Hispanic Black, insulin users)

Potential trend of more profound risk reduction in non-Hispanic Black individuals and insulin users

Original publication

Sodium‐glucose cotransporter 2 inhibitors and the risk of Parkinson disease in real‐world patients with type 2 diabetes. Diabetes Obes Metab. Published 10 September 2024. doi:10.1111/dom.15943

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

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