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Glucagon-like peptide-1 (GLP-1) agonists and sodium-glucose cotransporter-2 (SGLT2) inhibitors prevent some adverse cardiovascular (CV) events in middle-aged patients with glycosylated hemoglobin (HbA1c) levels >8.0%. In trials with primary CV outcomes, liraglutide and semaglutide also prevented some prespecified chronic renal outcomes.
In another manufacturer-sponsored study, researchers randomized 9900 patients with type 2 diabetes (mean age, 66; median HbA1c level, 7.2%) and known CV disease or CV risk factors to receive weekly subcutaneous injections of dulaglutide (Trulicity; 1.5 mg) or placebo. After median follow-up of 5.4 years, significantly fewer patients taking dulaglutide reached a composite CV endpoint (i.e., nonfatal myocardial…