April 21, 2026 · Mayo Clinic proceedings · DOI: 10.1016/j.mayocp.2026.01.035

Association of GLP-1 Receptor Agonist Use With Chronic Kidney Disease Risk in Type 2 Diabetes: Multicenter Emulated Target Trials

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The authors aimed to determine whether the initiation of glucagon-like peptide-1 receptor agonists (GLP-1 RAs) is associated with a reduced risk of chronic kidney disease (CKD) compared to dipeptidyl peptidase-4 inhibitors (DPP-4is) in patients with type 2 diabetes (T2D) who do not have pre-existing CKD. Their findings indicate that GLP-1 RA users experienced significantly lower risks of composite kidney outcomes, incident CKD, acute kidney injury, major adverse cardiac events, and all-cause mortality compared to those using DPP-4is.

Fu-Shun Yen, Chih-Cheng Hsu, Yao-Min Hung, Jing-Yang Huang, Chii-Min Hwu, James Cheng-Chung Wei

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