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Do SGLT2i, GLP-1 RAs Cut Pneumonia, Sepsis Risk?

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A large-scale study assessed the effects of sodium-glucose cotransporter-2 inhibitors (SGLT2i) and glucagon-like peptide-1 receptor agonists (GLP-1 RAs) on pneumonia and severe sepsis risks in adults with type 2 diabetes. The study found that treatment with GLP-1 RAs was associated with a 40% reduction in pneumonia risk among patients with type 2 diabetes compared to dipeptidyl peptidase-4 inhibitors (DPP-4i). Similarly, SGLT2i use was associated with a 25% reduced risk of pneumonia and severe sepsis compared to DPP-4i. The findings suggest potential benefits from these therapies in reducing pneumonia and severe sepsis risks, possibly through weight loss-mediated reduction in chronic inflammation and cardiorenal protection for GLP-1 RAs, and improved oxygen delivery to lung tissue for SGLT2i.

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