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‹ Sun · 28 Jun 2026
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Comparative cardiovascular efficacy of antidiabetic therapies in type 2 diabetes: a systematic review and network meta-analysis of randomized trials.

Two common diabetes drugs tackle different heart problems: GLP-1 drugs prevent strokes and early death, while SGLT2 drugs prevent heart failure—knowing which does what helps doctors pick the right one.

Network meta-analysis of 133 RCTs (289,558 T2DM patients) shows GLP-1 receptor agonists significantly reduce cardiovascular mortality (RR=0.85) and stroke (RR=0.83) with high-certainty evidence, while SGLT2 inhibitors most strongly reduce heart failure (RR=0.64) and CV hospitalization (RR=0.72), providing definitive head-to-head hierarchy for clinical prescribing.

What the study was

Study design
meta_analysis
Category
cardiovascular_metabolic
Maturity
clinical
Journal
Diabetology & Metabolic Syndrome

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