Type 2 & other diabetes

Use of sodium‐glucose cotransporter‐2 inhibitors in France: Analysis of French nationwide health insurance database

Diabetes Obes MetabPublished Nationwide drug utilization study

Authors' conclusion

The expansion of indications for SGLT-2i and the broadening of the target population make it essential to assess the reasons for discontinuation and review their safety profile.

Study context

Population
French nationwide health insurance database; incident SGLT2i users (mean age 65.0 years; 60.1% men)SGLT2i new users
Participants
125,387 participants
Outcome
Trends in incidence and prevalence of glucose-lowering drug use; characteristics of SGLT2i new users
Follow-up
2019 and 2021
Methodological detailsrepeated cross-sectional study and cohort study, French health insurance database, repeated cross-sectional 2019 and 2021, cohort of incident SGLT2i users
  • Repeated cross-sectional study and cohort study
  • French health insurance database
  • Repeated cross-sectional 2019 and 2021
  • Cohort of incident SGLT2i users

Main finding

As reported in the abstract

Prevalence of SGLT2i use, third quarter of 2021
0.1%
Prevalence of SGLT2i use thereafter
0.2%
SGLT2i second most prescribed glucose-lowering drug class after metformin at end of 2021
0.1%
New users with a diabetic comorbidity
87.6%
Cardiovascular comorbidity at initiation, 2020 vs 2021
28.7% vs 40.2%
Renal comorbidity at initiation, 2020 vs 2021
7.7% vs 11.8%
Combination at initiation: metformin
12.5%
Combination at initiation: metformin plus DPP-4i
8.1%
One-year probability of SGLT2i persistence
55%

Observational data: associations, not effects.

Original publication

Use of sodium‐glucose cotransporter‐2 inhibitors in France: Analysis of French nationwide health insurance database. Diabetes Obes Metab. Published 30 January 2024. doi:10.1111/dom.15472

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