Ethnic differences in the comparative effectiveness of second-line type 2 diabetes medications in preventing cardiovascular disease.

ABSTRACT:

Aim

To investigate ethnic differences in the comparative effectiveness of sulfonylureas (SU), dipeptidyl peptidase-4 inhibitors (DPP4i) and sodium-glucose cotransporter-2 inhibitors (SGLT2i) on cardiovascular outcomes.

Materials and methods

We identified adults with type 2 diabetes in UK electronic health records initiating SU, DPP4i or SGLT2i (2015-2022). The outcomes were major adverse cardiovascular events (MACE: myocardial infarction, stroke, heart failure hospitalisation, cardiovascular death). Cox models estimated hazard ratios for DPP4i versus SU, SGLT2i versus SU and SGLT2i versus DPP4i. Wald tests assessed interaction by ethnicity.

Results

Among 91 116 included individuals (72.3% White, 14.2% South Asian, 6.0% Black), 34.2% initiated an SU, 42.0% DPP4i and 23

SUBMITTER: Harley M 

PROVIDER: S-EPMC12803632 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature