Table 1.
Patients' criteria to likely benefit from the use of either SGLT2i or GLP-1 RA | SGLT2i for patients with T2DM and one of the following: |
1–Chronic kidney disease. 2–Established ASCVD. 3–High-risk of ASCVD; defined as having a 10-year ASCVD risk score ≥20%, having stenosis, or left ventricular hypertrophy. 4–BMI ≥ 27 Kg/m2. 5–HFrEF (< EF <45%). 6–Patient is on two other antidiabetic medications*. GLP-1 RA for patients with T2DM and one of the following: 1–Chronic kidney disease. 2–Established ASCVD. 3–High-risk of ASCVD; defined as having a 10-year ASCVD risk score ≥20%, having stenosis, or left ventricular hypertrophy. 4–BMI ≥ 27 Kg/m2. 5–Patient is on insulin. 6–Patient is on two other antidiabetic medications*. |
SGLT2i, Sodium–glucose Cotransporter−2 Inhibitors; GLP−1 RA, Glucagon–like Peptide−1 Receptor Agonists; ASCVD, Atherosclerotic Cardiovascular Disease; T2DM, Type 2 diabetes mellitus, BMI, body mass index, HFrEF, Heart failure with reduced ejection fraction; Stenosis, Diagnosis of stenosis of the carotid, coronary, or lower extremity with > 50%. *This is used to indicate the patient has uncontrolled T2DM.