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

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.

Amamoo, James et al.·Diabetes therapy : research·2025·Strong Evidencecohort
RPEP-09919CohortStrong Evidence2025RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
cohort
Evidence
Strong Evidence
Sample
N=large
Participants
US adults with uncontrolled T2D (HbA1c ≥ 7%) initiating semaglutide OW or SGLT2i (2018-2022)

What This Study 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.

Key Numbers

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

How They Did This

In publication.

Why This Research Matters

Relevant to peptide therapeutics.

The Bigger Picture

Advances peptide therapeutic knowledge.

What This Study Doesn't Tell Us

In publication.

Questions This Raises

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

Trust & Context

Key Stat:
Key finding Head-to-head comparison of once-weekly semaglutide versus SGLT2 inhibitors in T2D found semaglutide
Evidence Grade:
Based on study design.
Study Age:
Published in 2025.
Original Title:
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).
Published In:
Diabetes therapy : research, treatment and education of diabetes and related disorders, 16(5), 1033-1048 (2025)
Database ID:
RPEP-09919

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-Control
Cross-Sectional / ObservationalSnapshot without intervening
This study
Case Report / Animal Study
What do these levels mean? →

Frequently Asked 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 More on RethinkPeptides

Cite This Study

RPEP-09919·https://rethinkpeptides.com/research/RPEP-09919

APA

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

MLA

Amamoo, James, et al. "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, 2025. https://doi.org/10.1007/s13300-025-01721-y

RethinkPeptides

RethinkPeptides Research Database. "Once-Weekly Semaglutide Versus Sodium-Glucose Co-transporter..." RPEP-09919. Retrieved from https://rethinkpeptides.com/research/amamoo-2025-onceweekly-semaglutide-versus-sodiumglucose

Access the Original Study

Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.

This study breakdown was produced by the RethinkPeptides research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.