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Study breakdown

Weekly Semaglutide vs SGLT2 Inhibitors: Direct Comparison in Type 2 Diabetes

CohortStrong evidence
The takeaway

Head-to-head comparison of once-weekly semaglutide versus SGLT2 inhibitors in T2D found semaglutide superior for HbA1c and weight loss with different safety profiles.

Key finding

Head-to-head comparison of once-weekly semaglutide versus SGLT2 inhibitors in T2D found semaglutide

What the researchers found

Head-to-head comparison of once-weekly semaglutide versus SGLT2 inhibitors in T2D found semaglutide superior for HbA1c and weight loss with different safety profiles.

Why it matters

Relevant to peptide therapeutics.

The numbers in context

US insurance data from 2018-2022 comparing semaglutide OW versus SGLT2i. Patients had HbA1c ≥ 7.0% at initiation.

How the study worked

In publication.

Who was studied

US adults with uncontrolled T2D (HbA1c ≥ 7%) initiating semaglutide OW or SGLT2i (2018-2022)

What this study cannot tell us

In publication.

How to read the evidence

Based on study design.

When this study was published

Published in 2025.

The bigger picture

Advances peptide therapeutic knowledge.

Questions still open

  • Long-term implications?
  • Comparison to evidence?
  • Next research?

Common questions

What does this mean?
Head-to-head comparison of once-weekly semaglutide versus SGLT2 inhibitors in T2D found semaglutide superior for HbA1c and weight loss with different safety profiles.
How reliable?
Consult publication.

Read the original research

Once-Weekly Semaglutide Versus Sodium-Glucose Co-transporter 2 Inhibitors: Real-World Impact on Weight, HbA1c, and Healthcare Resource Utilization in Type 2 Diabetes (PAUSE).

Diabetes therapy : research, treatment and education of diabetes and related disorders, 16(5), 1033-1048

Citation

Amamoo, James; Doshi, Riddhi; Noone, Joshua; Xie, Lin; Gamble, Cory; Guevarra, Mico; Divino, Victoria; Chen, Justin; King, Aaron. (2025). Once-Weekly Semaglutide Versus Sodium-Glucose Co-transporter 2 Inhibitors: Real-World Impact on Weight, HbA1c, and Healthcare Resource Utilization in Type 2 Diabetes (PAUSE).. Diabetes therapy : research, treatment and education of diabetes and related disorders, 16(5), 1033-1048. https://doi.org/10.1007/s13300-025-01721-y