{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T10:01:14Z","timestamp":1776506474013,"version":"3.51.2"},"reference-count":39,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T00:00:00Z","timestamp":1722988800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["dom-pubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Obesity Metabolism"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Sodium\u2013glucose cotransporter 2 inhibitors (SGLT2is), used as a glucose\u2010lowering therapy in people with type 2 diabetes (T2D), have significant cardiorenal benefits, reducing hospitalization for heart failure (HF) and cardiovascular mortality in patients with and without T2D. Recent clinical trial evidence suggests their potential utility in preventing incident T2D among the high\u2010risk HF populations. Therefore, we aimed to assess whether this finding was reproducible in a real\u2010world setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We performed a retrospective cohort analysis of 484\u2009643 patients with HF, without baseline diabetes, prescribed either angiotensin\u2010converting enzyme inhibitors or angiotensin II receptor blockers with\/without SGLT2is (treatment,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200942\u2009018; reference,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009442\u2009625) across 95 global health care organizations, using a large real\u2010world ecosystem. Propensity score matching balanced arms 1:1 for confounders (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200939\u2009168 each arm). Subgroup analysis further evaluated the impact on patients with prediabetes and the efficacy of dapagliflozin\/empagliflozin, specifically, on incident T2D and secondary outcomes, including all\u2010cause mortality, acute pulmonary oedema and hospitalization.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Treatment with SGLT2is significantly reduced incident T2D {hazard ratio (HR) 0.71 [95% confidence interval (CI) 0.63, 0.75]} in patients with HF. The analysis of patients with prediabetes found that SGLT2is further reduced incident T2D [HR 0.62 (95% CI 0.45, 0.80)]. The magnitude of reduction in incident T2D was higher in patients prescribed dapagliflozin [HR 0.47 (95% CI 0.39, 0.56)] versus empagliflozin [HR 0.81 (95% CI 0.70, 0.93)].<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Treatment with SGLT2is in patients with HF was associated with a reduced risk of incident T2D, most strikingly in people with prediabetes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.15833","type":"journal-article","created":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T05:22:16Z","timestamp":1723008136000},"page":"4665-4673","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Sodium\u2013glucose cotransporter 2 inhibitors reduce the risk of incident type 2 diabetes in people with heart failure without diabetes: An analysis of real\u2010world, cohort data"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8066-9470","authenticated-orcid":false,"given":"Alex E.","family":"Henney","sequence":"first","affiliation":[{"name":"Department of Cardiovascular &amp; Metabolic Medicine University of Liverpool  Liverpool UK"},{"name":"Metabolism &amp; Nutrition Research Group Liverpool University Hospitals NHS Foundation Trust  Liverpool UK"},{"name":"Liverpool Centre for Cardiovascular Sciences University of Liverpool and Liverpool University Hospitals NHS Foundation Trust  Liverpool UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David R.","family":"Riley","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular &amp; Metabolic Medicine University of Liverpool  Liverpool UK"},{"name":"Metabolism &amp; Nutrition Research Group Liverpool University Hospitals NHS Foundation Trust  Liverpool UK"},{"name":"Liverpool Centre for Cardiovascular Sciences University of Liverpool 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UK"},{"name":"Metabolism &amp; Nutrition Research Group Liverpool University Hospitals NHS Foundation Trust  Liverpool UK"},{"name":"Liverpool Centre for Cardiovascular Sciences University of Liverpool and Liverpool University Hospitals NHS Foundation Trust  Liverpool UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Uazman","family":"Alam","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular &amp; Metabolic Medicine University of Liverpool  Liverpool UK"},{"name":"Metabolism &amp; Nutrition Research Group Liverpool University Hospitals NHS Foundation Trust  Liverpool UK"},{"name":"Liverpool Centre for Cardiovascular Sciences University of Liverpool and Liverpool University Hospitals NHS Foundation Trust  Liverpool UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel J.","family":"Cuthbertson","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular &amp; Metabolic Medicine University of Liverpool  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