Table 3.4. Factors to be considered when deciding on the best new antidiabetic treatment in coronary patients.
SGLT2 inhibitors | GLP1-RA | |
---|---|---|
Method of administration | Daily oral administration | Subcutaneous (oral semaglutide already exists, but is not yet available in Brazil) Daily or weekly administration |
Benefits | Reduces MACE Reduces cardiovascular death (empagliflozin) Reduces HF Reduces (slightly) AP Prevents progression of nephropathy |
Reduces MACE Reduces cardiovascular death (liraglutide) Weight loss Prevents progression of nephropathy (liraglutide) |
Caution | Creatinine clearance < 30 mL/min/1.73 m² History of genital infections History of ketoacidosis Osteoporosis/fractures (canagliflozin) Peripheral arterial disease (canagliflozin) |
Creatinine clearance <30 mL/min/1.73 m² Nausea History of pancreatitis Retinopathy (semaglutide) |
MACE: major adverse cardiac events.