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Hepatic Events Prevention by Antihyperglycemic Therapies and Intervention Comparisons in Type 2 Diabetes: The HEPATIC-T2DM Network Meta-analysis - PubMed

3 hours ago
  • #network meta-analysis
  • #liver outcomes
  • #type 2 diabetes
  • Type 2 diabetes increases liver disease risk, but hepatic effects of antidiabetic drugs are not well understood.
  • A network meta-analysis of 46 observational studies compared drug classes on major adverse liver outcomes.
  • Thiazolidinediones showed the lowest association with hepatocellular carcinoma incidence among the drugs studied.
  • GLP-1RAs were linked to the lowest risk for decompensation, variceal bleeding, and hepatic encephalopathy.
  • SGLT2 inhibitors were least associated with cirrhosis and liver-related mortality.
  • Findings are from observational studies, so causal conclusions cannot be drawn, and randomized trials are needed.