Should SGLT-2 Inhibitors Be Continued After a UTI?
November 4, 2025
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3 min
11 Key Takeaways
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1
Stopping SGLT-2 inhibitors after UTI may increase mortality risk.
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2
Study involved 61,606 adults with type 2 diabetes.
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3
UTI incidence was
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4
36%;
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39% severe.
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6
Patients with UTIs faced increased cardiovascular and renal risks.
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3
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31% discontinued SGLT-2 inhibitors post-UTI.
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9
Discontinuation did not reduce UTI recurrence.
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10
Risks of adverse outcomes rise significantly after discontinuation.
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11
Study suggests reevaluating treatment strategies involving SGLT-2 inhibitors.
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.
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