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. 2021 Jul 15;117(1):181–264. [Article in Portuguese] doi: 10.36660/abc.20210180

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.