Evidence map›Paper›PMID 42236640›Full record

ArticleInfectious diseases and therapy2026

Prior SGLT2 Inhibitor and Metformin Use and Risk of Long COVID in Type 2 Diabetes: A Nationwide Population-Based Cohort Study.

Jinghao Nicholas Ngiam, Enoch Xueheng Loy, Matthew Chung Yi Koh, Calvin J Chiew, Russell Jingxian Li, Su Chi Lim, E Shyong Tai, Yong Mong Bee, Wai Leng Chow, David Chien Boon Lye and 5 more

Abstract read
In one paragraph

Article in Infectious diseases and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

15 authors.

Jinghao Nicholas Ngiam *Division of Infectious Diseases, Department of Medicine, National University Health System Singapore, 1E Kent Ridge Rd, NUHS Tower Block, Level 10, Singapore, 119228, Singapore. nicholas_ngiam@nuhs.edu.sg.ORCID http://orcid.org/0000-0002-3339-7281
Enoch Xueheng Loy *National Centre for Infectious Diseases, Singapore, Singapore.
Matthew Chung Yi KohDivision of Infectious Diseases, Department of Medicine, National University Health System Singapore, 1E Kent Ridge Rd, NUHS Tower Block, Level 10, Singapore, 119228, Singapore.
Calvin J ChiewNational Centre for Infectious Diseases, Singapore, Singapore.
Russell Jingxian LiNational Centre for Infectious Diseases, Singapore, Singapore.
Su Chi LimSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
E Shyong TaiSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Yong Mong BeeDuke-NUS Medical School, National University of Singapore, Singapore, Singapore.
Wai Leng ChowMinistry of Health, Singapore, Singapore.
David Chien Boon LyeNational Centre for Infectious Diseases, Singapore, Singapore.
Yew Woon ChiaYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Mark Yan Yee ChanYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Derek J HausenloyYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Kelvin Bryan TanNational Centre for Infectious Diseases, Singapore, Singapore.
Liang En WeeNational Centre for Infectious Diseases, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients with type 2 diabetes mellitus (T2DM) are at increased risk of post-acute sequelae after COVID-19 (PASC). Sodium-glucose cotransporter-2 inhibitors (SGLT2i) and metformin may have systemic benefits beyond glycemic control. We evaluated the impact of prior SGLT2i and metformin use on the risk of post-acute COVID-19 complications.

methodsWe conducted a retrospective, population-based cohort study using national healthcare claims databases, from July 1, 2021 to February 28, 2023. Cohorts were stratified based on SGLT2i or metformin, against patients had not received these medications. Overlap weighting was applied to adjust for baseline differences in demographics, vaccination status, comorbidities, and prior healthcare utilization. Competing-risks regression models were used to assess differences in the risk of long-COVID outcomes between 31 and 300 days post-infection.

resultsAmong 71,698 patients with T2DM, 22,501 (31.4%) had prior SGLT2i use, and 66,792 (93.1%) had prior metformin use. Compared with non-SGLT2i users, patients treated with SGLT2i had a significantly lower risk of neurological sequelae (aHR = 0.60 [0.45-0.81]), particularly memory and cognitive impairment (aHR = 0.63 [0.41-0.98]). SGLT2i was also associated with a reduced risk of post-acute symptoms (aHR = 0.87 [0.77-0.99]). Metformin use was associated with significantly lower risk of composite post-acute outcomes (aHR = 0.80 [0.68-0.96]) and post-acute symptoms (aHR = 0.77 [0.63-0.93]). Amongst patients on metformin, the addition of SGLT2i further lowered the risk of neurological sequelae (aHR = 0.81 [0.71-0.93]) and composite symptoms (aHR 0.87 [0.76-0.99]).

conclusionSGLT2i and metformin use were associated with a lower risk of PASC and post-acute symptoms. There may be additional protective benefits when both agents are used concurrently.

Indexed as

COVID-19Long COVIDMetforminSARS-CoV-2SGLT-2 inhibitors

Identifiers

PMID42236640
PMCPMC13280275

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.