SGLT2 inhibitors × lipids

SynthesisThe Indian journal of medical research2025

Efficacy & safety of sodium-glucose cotransporter-2 inhibitors in polycystic ovary syndrome: A meta-analysis with trial sequential analysis.

Marya Ahsan et al.PubMed ↗Full text ↗Publisher ↗

  • SGLT2ilooks bad hereHigher total cholesterol, higher low-density cholesterol, more genitourinary adverse events.Randomised, small.

What the trial testedrandomised · 205 people · 2025

Randomised vs control

Probably raised total cholesterol

+0.13+0.01 to +0.26

SGLT2i vs control

As reported

difference 0.13, 95% CI 0.01–0.26

Randomised vs control

Probably raised low-density cholesterol

+0.18+0.06 to +0.31

SGLT2i vs control

As reported

difference 0.18, 95% CI 0.06–0.31

Randomised vs control

Probably increased genitourinary adverse events

11×1.3× to 89×

SGLT2i vs control

Bigger than almost all for adverse events & safety

As reported

OR 10.88, 95% CI 1.33–89.1

Not counted

Probably lowered total testosterone

−0.10−0.19 to −0.01

SGLT2i vs control

As reported

difference −0.10, 95% CI −0.19 to −0.01

Who was studied, and how

205people with obesity, in this paper

The trial randomly assignedassigned by chance

SGLT2i
control

Probably raised total cholesterol+0.13

Probably raised low-density cholesterol+0.18

Probably increased genitourinary adverse events11×

randomised

the abstract, start to end

total testosterone (mean difference=-0.10 [-0.19, -0.01], P=0.03), free

Total cholesterol (mean difference=0.13 [0.01, 0.26], P=0.04) and low-density cholesterol (MD=0.18 [0.06, 0.31], P=0.003)

were more common in the SGLT2i group (OR=10.88 [1.33, 89.14], P= 0.03).

← favours treatmentfavours comparator →
could be chance
Total testosteroneSGLT2i vs control
−0.10−0.19 to −0.01
Total cholesterolSGLT2i vs control
0.130.01–0.26
Low-density cholesterolSGLT2i vs control
0.180.06–0.31
Genitourinary adverse eventsSGLT2i vs control
OR 10.881.33–89.1
SGLT2 inhibitorsLipidsAdverse events & safetyInflammation & biomarkers

SGLT2 inhibitors × lipidshelps?replicated

unlikelylikely
1.00not counted

SGLT2 inhibitors × adverse events & safetyharms?mixed

unlikelylikely
0.00not counted
← favours comparatorfavours treatment →
more certainless certain
1 / 7

2 papers cite it

2025
2026
this papercites it
Full record →Abstract, authors, funding and every citing paper · PMID 41296583