SGLT2 inhibitors × lipids

SynthesisJournal of the American Heart Association2017

Effect of Sodium-Glucose Cotransport-2 Inhibitors on Blood Pressure in People With Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis of 43 Randomized Control Trials With 22 528 Patients.

Mohsen Mazidi et al.PubMed ↗Full text ↗Publisher ↗

  • SGLT2cuts both waysLower diastolic BP, lower body weight, lower serum triglycerides.Weak evidence: one subgroup.

What the trial testedrandomised · 2017

One subgroup

May have lowered diastolic BP in individuals with type 2 diabetes mellitus

−1.46mm Hg−1.82 to −1.09

SGLT2 vs control (implied), in individuals with type 2 diabetes mellitus

As reported

difference −1.46 mm Hg, 95% CI −1.82 to −1.09

One subgroup

May have lowered body weight in individuals with type 2 diabetes mellitus

−1.88kg−2.11 to −1.66

SGLT2 vs control (implied), in individuals with type 2 diabetes mellitus

As reported

difference −1.88 kg, 95% CI −2.11 to −1.66

One subgroup

May have lowered serum triglycerides in individuals with type 2 diabetes mellitus

−2.08mg/dL−2.51 to −1.64

SGLT2 vs control (implied), in individuals with type 2 diabetes mellitus

As reported

difference −2.08 mg/dL, 95% CI −2.51 to −1.64

One subgroup

May have lowered systolic BP in individuals with type 2 diabetes mellitus

−2.46mm Hg−2.86 to −2.06

SGLT2 vs control (implied), in individuals with type 2 diabetes mellitus

As reported

difference −2.46 mm Hg, 95% CI −2.86 to −2.06

+1 more in the walkthrough ↓

Who was studied, and how

190people in the Efficacy, Safety & Tolerability of Combination of Ertugliflozin and Sitagliptin in Patients With Type II Diabetes Mellitus trial, from 2022
of them with hypertension, in this paper

Among individuals with type 2 diabetes mellitus, the trial randomly assignedassigned by chance

SGLT2
control (implied)

May have lowered diastolic BP−1.46

May have lowered body weight−1.88

May have lowered serum triglycerides−2.08

randomised · one subgroup

the abstract, start to end

for the effect on diastolic BP was -1.46 mm Hg (95% CI -1.82 to -1.09).

the effect of SGLT2 on body weight was -1.88 kg (95% CI -2.11 to -1.66)

triglycerides and total cholesterol were -2.08 mg/dL (95% CI -2.51 to -1.64) and 0.77 mg/dL (95% CI 0.33-1.21),

with SGLT2 (weighted mean difference -2.46 mm Hg [95% CI -2.86 to -2.06]).

← favours treatmentfavours comparator →
could be chance
Diastolic BPSGLT2 vs control (implied), in individuals with type 2 diabetes mellitus
−1.46−1.82 to −1.09
Body weightSGLT2 vs control (implied), in individuals with type 2 diabetes mellitus
−1.88−2.11 to −1.66
Serum triglyceridesSGLT2 vs control (implied), in individuals with type 2 diabetes mellitus
−2.08−2.51 to −1.64
Systolic BPSGLT2 vs control (implied), in individuals with type 2 diabetes mellitus
−2.46−2.86 to −2.06
Total cholesterolSGLT2 vs control (implied), in individuals with type 2 diabetes mellitus
0.770.33–1.21
SGLT2 inhibitorsBody weight & compositionLipidsBlood pressure

SGLT2 inhibitors × lipidshelps?replicated

unlikelylikely
1.00not counted

SGLT2 inhibitors × blood pressurehelps?settled

unlikelylikely
0.88not counted

SGLT2 inhibitors × body weight & compositionhelps?settled

unlikelylikely
0.98not counted
← favours comparatorfavours treatment →
more certainless certain
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The trial

Full record →Abstract, authors, funding and every citing paper · PMID 28546454