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All-cause mortality and cardiovascular events in patients with type 2 diabetes treated with alpha-glucosidase inhibitors: A meta-analysis of randomized controlled trials

Nutrition, Metabolism & Cardiovascular Diseases Nov 04, 2021

Mannucci E, Gallo M, Pintaudi B, et al. - Due to insufficient evidence of beneficial or detrimental impacts of alpha-glucosidase inhibitors (approved drugs for type 2 diabetes) on all-cause mortality and cardiovascular events, it is not possible to draw conclusions.

  • The impacts of alpha-glucosidase inhibitors on mortality and cardiovascular safety are unclear.

  • This meta-analysis included a total of eight randomized controlled trials (of a duration ≥52 weeks), including 1,124 and 908 patients receiving alpha-glucosidase inhibitors and comparators, respectively.

  • No trials provided information regarding major cardiovascular events.

  • No significant increase in all-cause mortality was observed with alpha-glucosidase inhibitors vs other therapies or no therapy/placebo (Mantel-Haenszel odds ratio 0.58 [0.23, 1.45]).

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