Semaglutide Versus Empagliflozin in Uncontrolled Type 2 Diabetes: A Cohort Study With 18 Months of Follow-Up (SEMPA18)

In this real-world, 18-month cohort, empagliflozin produced more pronounced improvements in albuminuria and a slightly greater absolute reduction in HbA1c, whereas semaglutide showed a trend toward greater weight loss, though not statistically significant. These findings emphasize individualized therapy choices in T2DM based on cardiorenal risk profiles and underscore the potential value of early empagliflozin initiation, especially in patients at higher risk of renal deterioration.

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Journal
Cureus
Published
2025-05-03
DOI
https://doi.org/10.7759/cureus.83416
Primary Topic
Diabetes Treatment and Management
Type
article
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article

Semaglutide Versus Empagliflozin in Uncontrolled Type 2 Diabetes: A Cohort Study With 18 Months of Follow-Up (SEMPA18)

Dillon Trujillo, Marisol Badiel, William Martínez, Alín Abreu Lomba et al.
Cureus
Diabetes Treatment and Management
article

Semaglutide Versus Empagliflozin in Uncontrolled Type 2 Diabetes: A Cohort Study With 18 Months of Follow-Up (SEMPA18)

Dillon Trujillo, Marisol Badiel, William Martínez, Alín Abreu Lomba, David Aristizabal-Colorado, S. Castillo
article en

Abstract

In this real-world, 18-month cohort, empagliflozin produced more pronounced improvements in albuminuria and a slightly greater absolute reduction in HbA1c, whereas semaglutide showed a trend toward greater weight loss, though not statistically significant. These findings emphasize individualized therapy choices in T2DM based on cardiorenal risk profiles and underscore the potential value of early empagliflozin initiation, especially in patients at higher risk of renal deterioration.

CureusVol. 17(5)
Universidad de Antioquia (CO), Deaconess Clinic (US), Fundación Universitaria del Área Andina (CO), Universidad de Medellín (CO), Clínica CES (CO), Universidad Libre de Colombia (CO)
Zero hunger
Openalex Percentile: Top 88%
Diabetes Treatment and Management
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Semaglutide Versus Empagliflozin in Uncontrolled Type 2 Diabetes: A Cohort Study With 18 Months of Follow-Up (SEMPA18) — Dillon Trujillo, Marisol Badiel, et al. · Cureus (2025) | TGRS Research Map | TGRS