Should SGLT-2 Inhibitors Be Continued After a UTI?
November 4, 2025
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3 min
A recent study revealed that stopping sodium-glucose cotransporter-2 (SGLT-2) inhibitors after a urinary tract infection (UTI) in patients with type 2 diabetes may not reduce UTI recurrence but increases the risk of mortality. The research involved 61,606 adults in Hong Kong and showed that those who developed UTIs had a threefold increase in major cardiovascular events and a twofold increase in renal complications. Discontinuing SGLT-2 inhibitors led to higher cardiovascular and renal risks without decreasing UTI incidence, highlighting the importance of continued treatment despite UTIs.
1. Stopping SGLT-2 inhibitors after UTI may increase mortality risk. 2. Study involved 61,606 adults with type 2 diabetes. 3. UTI incidence was 6.36%; 8.39% severe. 4. Patients with UTIs faced increased cardiovascular and renal risks. 5. 32.31% discontinued SGLT-2 inhibitors post-UTI. 6. Discontinuation did not reduce UTI recurrence. 7. Risks of adverse outcomes rise significantly after discontinuation. 8. Study suggests reevaluating treatment strategies involving SGLT-2 inhibitors.
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