SGLT2i initiators with DKD (N = 6389) | Commercial insurance (N = 2284) | Medicare insurance (N = 4105) | Low CV risk (N = 2797) | Moderate CV risk (N = 3237) | High CV risk (N = 355) | |
---|---|---|---|---|---|---|
T2D medication | ||||||
Metformin, n (%) | 4545 (71.1%) | 1739 (76.1%) | 2806 (68.4%) | 2063 (73.8%) | 2256 (69.7%) | 226 (63.7%) |
Any second LOT, n (%) | 5528 (86.5%) | 1961 (85.9%) | 3567 (86.9%) | 2385 (85.3%) | 2834 (87.6%) | 309 (87.0%) |
SU, n (%) | 3093 (48.4%) | 1004 (44.0%) | 2089 (50.9%) | 1387 (49.6%) | 1555 (48.0%) | 151 (42.5%) |
TZD, n (%) | 848 (13.3%) | 273 (12.0%) | 575 (14.0%) | 371 (13.3%) | 436 (13.5%) | 41 (11.5%) |
DPP4i, n (%) | 2201 (34.4%) | 785 (34.4%) | 1416 (34.5%) | 1024 (36.6%) | 1074 (33.2%) | 103 (29.0%) |
GLP1ra, n (%) | 1385 (21.7%) | 680 (29.8%) | 705 (17.2%) | 551 (19.7%) | 763 (23.6%) | 71 (20.0%) |
Basal insulin, n (%) | 2249 (35.2%) | 801 (35.1%) | 1448 (35.3%) | 812 (29.0%) | 1258 (38.9%) | 179 (50.4%) |
AGI, n (%) | 58 (0.9%) | 13 (0.6%) | 45 (1.1%) | 22 (0.8%) | 33 (1.0%) | 3 (0.8%) |
Meglitinide, n (%) | 170 (2.7%) | 55 (2.4%) | 115 (2.8%) | 84 (3.0%) | 73 (2.3%) | 13 (3.7%) |
Any two second LOTs, n (%) | 2974 (46.5%) | 1042 (45.6%) | 1932 (47.1%) | 1222 (43.7%) | 1588 (49.1%) | 164 (46.2%) |
SU + TZD, n (%) | 391 (6.1%) | 122 (5.3%) | 269 (6.6%) | 180 (6.4%) | 199 (6.1%) | 12 (3.4%) |
SU + DPP4i, n (%) | 1010 (15.8%) | 342 (15.0%) | 668 (16.3%) | 490 (17.5%) | 488 (15.1%) | 32 (9.0%) |
SU + GLP1ra, n (%) | 377 (5.9%) | 183 (8.0%) | 194 (4.7%) | 164 (5.9%) | 199 (6.1%) | 14 (3.9%) |
SU + basal insulin, n (%) | 569 (8.9%) | 185 (8.1%) | 384 (9.4%) | 224 (8.0%) | 307 (9.5%) | 38 (10.7%) |
TZD + DPP4i, n (%) | 249 (3.9%) | 88 (3.9%) | 161 (3.9%) | 124 (4.4%) | 116 (3.6%) | 9 (2.5%) |
TZD + GLP1ra, n (%) | 118 (1.8%) | 55 (2.4%) | 63 (1.5%) | 53 (1.9%) | 57 (1.8%) | 8 (2.3%) |
TZD + basal insulin, n (%) | 152 (2.4%) | 54 (2.4%) | 98 (2.4%) | 60 (2.1%) | 84 (2.6%) | 8 (2.3%) |
DPP4i + basal insulin, n (%) | 430 (6.7%) | 142 (6.2%) | 288 (7.0%) | 157 (5.6%) | 239 (7.4%) | 34 (9.6%) |
GLP1ra + basal insulin, n (%) | 483 (7.6%) | 233 (10.2%) | 250 (6.1%) | 166 (5.9%) | 291 (9.0%) | 26 (7.3%) |
Basal + mealtime insulin, n (%) | 826 (12.9%) | 253 (11.1%) | 573 (14.0%) | 276 (9.9%) | 478 (14.8%) | 72 (20.3%) |
CV medication | ||||||
Alpha blocker, n (%) | 194 (3.0%) | 45 (2.0%) | 149 (3.6%) | 80 (2.9%) | 99 (3.1%) | 15 (4.2%) |
ACEi/ARB, n (%) | 5263 (82.4%) | 1831 (80.2%) | 3432 (83.6%) | 2282 (81.6%) | 2682 (82.9%) | 299 (84.2%) |
DRI, n (%) | 7 (0.1%) | 0 (0.0%) | 7 (0.2%) | 4 (0.1%) | 3 (0.1%) | 0 (0.0%) |
Antiplatelet, n (%) | 957 (15.0%) | 268 (11.7%) | 689 (16.8%) | 228 (8.2%) | 560 (17.3%) | 169 (47.6%) |
Anticoagulant, n (%) | 513 (8.0%) | 117 (5.1%) | 396 (9.6%) | 188 (6.7%) | 251 (7.8%) | 74 (20.8%) |
Aspirin, n (%) | 99 (1.5%) | 88 (3.9%) | 11 (0.3%) | 31 (1.1%) | 53 (1.6%) | 15 (4.2%) |
Beta blocker, n (%) | 3065 (48.0%) | 838 (36.7%) | 2227 (54.3%) | 1160 (41.5%) | 1637 (50.6%) | 268 (75.5%) |
CCB, n (%) | 2548 (39.9%) | 748 (32.7%) | 1800 (43.8%) | 1059 (37.9%) | 1328 (41.0%) | 161 (45.4%) |
Central alpha agonist, n (%) | 298 (4.7%) | 87 (3.8%) | 211 (5.1%) | 113 (4.0%) | 162 (5.0%) | 23 (6.5%) |
Diuretic, n (%) | 3462 (54.2%) | 1068 (46.8%) | 2394 (58.3%) | 1443 (51.6%) | 1771 (54.7%) | 248 (69.9%) |
ENaC, n (%) | 179 (2.8%) | 63 (2.8%) | 116 (2.8%) | 92 (3.3%) | 80 (2.5%) | 7 (2.0%) |
Loop diuretic, n (%) | 1248 (19.5%) | 274 (12.0%) | 974 (23.7%) | 397 (14.2%) | 687 (21.2%) | 164 (46.2%) |
MRA, n (%) | 339 (5.3%) | 96 (4.2%) | 243 (5.9%) | 104 (3.7%) | 186 (5.7%) | 49 (13.8%) |
K+ sparing diuretic, n (%) | 507 (7.9%) | 155 (6.8%) | 352 (8.6%) | 193 (6.9%) | 259 (8.0%) | 55 (15.5%) |
Thiazide diuretic, n (%) | 2547 (39.9%) | 872 (38.2%) | 1675 (40.8%) | 1149 (41.1%) | 1262 (39.0%) | 136 (38.3%) |
Digoxin, n (%) | 143 (2.2%) | 31 (1.4%) | 112 (2.7%) | 50 (1.8%) | 75 (2.3%) | 18 (5.1%) |
Statin, n (%) | 5236 (82.0%) | 1775 (77.7%) | 3461 (84.3%) | 2225 (79.5%) | 2695 (83.3%) | 316 (89.0%) |
Nitrate, n (%) | 539 (8.4%) | 103 (4.5%) | 436 (10.6%) | 128 (4.6%) | 307 (9.5%) | 104 (29.3%) |
Oral anticoagulant, n (%) | 484 (7.6%) | 107 (4.7%) | 377 (9.2%) | 176 (6.3%) | 244 (7.5%) | 64 (18.0%) |
K+ binding agent, n (%) | 42 (0.7%) | 10 (0.4%) | 32 (0.8%) | 8 (0.3%) | 28 (0.9%) | 6 (1.7%) |
K+ supplement, n (%) | 608 (9.5%) | 153 (6.7%) | 455 (11.1%) | 202 (7.2%) | 328 (10.1%) | 78 (22.0%) |