Type 2 & other diabetes

The Beneficial Effects of Sodium-Glucose Cotransporter 2 Inhibitors on Anemia in Type 2 Diabetes-A Real-World Study

J Clin Endocrinol MetabPublished Retrospective cohort study

An erratum to this article was published (J Clin Endocrinol Metab, 16 Oct 2025 ↗)

Main finding · AnemiaResult — go to the resultHazard ratio 0.6 95% CI 0.58–0.63

Authors' conclusion

SGLT2 inhibitors demonstrated a lower prevalence of anemia and a lower risk of hospitalizations attributed to anemia when compared to treatment with DPP4 inhibitors in patients with diabetes.

Study context

Population
Patients with T2D, Clalit Health Services data repositories, January 1, 2016 – December 31, 2021matched cohort
Participants
22,896 patients
Exposure
SGLT2 inhibitors vs DPP4 inhibitors
  • SGLT2 inhibitorsn = 11,448
Outcome
Prevalence of anemia
Methodological detailspropensity-score matched, real-world data
  • Propensity-score matched
  • Real-world data

Main finding

Anemia

Hazard ratio

0.6

95% CI 0.58–0.63

SGLT2 inhibitorsvs DPP4 inhibitors
HR 0.6 (95% CI 0.58–0.63)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)P value
Hospitalizations attributed to anemia0.67 (0.58–0.77)
Necessity for anemia treatment0.84 (0.78–0.92)P < 0.001

Original publication

The Beneficial Effects of Sodium-Glucose Cotransporter 2 Inhibitors on Anemia in Type 2 Diabetes-A Real-World Study. J Clin Endocrinol Metab. Published 22 March 2025. doi:10.1210/clinem/dgaf184

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