August 29th, 2024

Type 2 diabetes drug associated with 35% lower risk of dementia, study finds

A study in the BMJ found SGLT-2 inhibitors linked to a 35% lower dementia risk, with significant reductions for Alzheimer’s and vascular dementia, though causation remains unproven and findings are questioned.

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Type 2 diabetes drug associated with 35% lower risk of dementia, study finds

A recent study published in the BMJ indicates that sodium-glucose cotransporter-2 (SGLT-2) inhibitors, a class of drugs used to treat type 2 diabetes, are associated with a 35% lower risk of developing dementia. The research, conducted in Korea, analyzed data from over 220,000 type 2 diabetics aged 40 to 69 who were not diagnosed with dementia at the start of the study. Among the participants, those taking SGLT-2 inhibitors showed a 39% reduced risk of Alzheimer’s disease and a 52% reduced risk of vascular dementia compared to those on dipeptidyl peptidase 4 (DPP-4) inhibitors. While the findings are promising, the authors caution that the study is observational and cannot establish a direct cause-and-effect relationship. Experts emphasize the potential of repurposing existing medications for dementia treatment, which could expedite clinical trials and reduce costs. However, some researchers express skepticism about the magnitude of the findings, suggesting that the study design may have influenced the results. The global prevalence of dementia is projected to rise significantly, highlighting the urgent need for effective treatments.

- SGLT-2 inhibitors are linked to a 35% lower risk of dementia.

- The study also found a 39% reduced risk for Alzheimer’s and a 52% reduced risk for vascular dementia.

- The research is observational and does not prove causation.

- Repurposing existing drugs could accelerate dementia treatment development.

- Some experts question the validity of the study's findings due to potential design flaws.

Link Icon 7 comments
By @hi-v-rocknroll - 8 months
Article:

- SGLT-2 inhibitors: canagliflozin, dapagliflozin, sotagliflozin, bexagliflozin

- DPP-4 inhibitors: sitagliptin, saxagliptin, linagliptin

Other beneficial drugs beyond/with/for diabetes and/or weight:

- Metformin

- AGIs: acarbose

- GLP-1 agonists: tirzepatide, semaglutide, liraglutide

- DACRAs: cagrilintide

Maybe in the future it will be possible to manage a person's glucose and related hormone levels in roughly a continuous keto or borderline low blood sugar state using the equivalent of an "insulin pump" and a real-time blood glucose monitor control system such that it doesn't promote low-blood sugar neurological symptoms.

By @chiefalchemist - 8 months
The smarter way to look at it: Diabetes increases the chances of dementia. It's diabetes that's causing an unnatural increase. Rhe drug is simply a catalyst for something closer to normal. Obesity at it's current rate, while socially normalized, is from an evolutionary standpoint abnormal.
By @tsoukase - 8 months
Diabetes is a debilitating situation. A slow killer. It is an independent factor for both degenerative (Alzheimer's) and vascular dementia. I do not think any drug will be better than the disease itself. On the other side, if we use a diabetes drug to cure dementia in non-diabetes patients, we might have a good result but with hypoglycemia as a side effect.
By @rawicki - 8 months
DPP-4 drugs are less effective also on other metrics. Would be far more interesting to see the comparison of SGLT-2 inhibitors vs GLP-1 agonists.

For some reason GLP-1 drugs are not that popular in Korea (and still not prescribed just for the weight loss), so that may explain why these researchers haven't done that.

By @mgarfias - 8 months
Mom has the dementia and I have t2d. I started looking and discovered one of the meds I’m on already is one of these sglt-2 deals. So yay!
By @zug_zug - 8 months
In people with diabetes.