Evidence map›Paper›PMID 42642357›Full record

ArticleDiabetes, obesity & metabolism2026

Cardiorenal Mortality and Safety Outcomes of GLP-1 Receptor Agonists in Type 2 Diabetes With BMI Below 27 kg/m

Shao-Chia Chen, Yu-Nan Huang, Pei-Yun Li, Jo-Ching Chen, Gideon Meyerowitz-Katz, Shun-Fa Yang, Pen-Hua Su

Abstract read
In one paragraph

Article in Diabetes, obesity & metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Shao-Chia ChenInstitute of Medicine, Chung Shan Medical University, Taichung, Taiwan.
Yu-Nan HuangDivision of Genetics and Endocrinology, Department of Pediatrics, Chung Shan Medical University Hospital, Taichung, Taiwan.ORCID https://orcid.org/0000-0003-1688-1685
Pei-Yun LiDivision of Genetics and Endocrinology, Department of Pediatrics, Chung Shan Medical University Hospital, Taichung, Taiwan.
Jo-Ching ChenDivision of Genetics and Endocrinology, Department of Pediatrics, Chung Shan Medical University Hospital, Taichung, Taiwan.
Gideon Meyerowitz-KatzSchool of Health and Society, University of Wollongong, Wollongong, Australia.
Shun-Fa YangInstitute of Medicine, Chung Shan Medical University, Taichung, Taiwan.ORCID https://orcid.org/0000-0002-0365-7927
Pen-Hua SuDivision of Genetics and Endocrinology, Department of Pediatrics, Chung Shan Medical University Hospital, Taichung, Taiwan.

Funding

Chung Shan Medical University Hospital CSH-2025-A-004Chung Shan Medical University Hospital CSH-2026-A-009Chung Shan Medical University Hospital CSH-2026-F-003National Science and Technology Council 113-2314-B-040-026-MY2National Science and Technology Council 114-2622-B-040-001
6 · The paper itself

Abstract

aimsCardiorenal evidence for glucagon-like peptide-1 receptor agonists (GLP-1 RAs) derives mainly from trials in overweight or obesity; data in adults with Type 2 diabetes (T2D) and body mass index (BMI) below 27 kg/m MATERIALS AND

methodsWe emulated a target trial in the TriNetX US Collaborative Network (index dates 2020 to 2026; maximum follow-up 24 months). Adults with T2D and BMI < 27 kg/m

resultsAfter matching, 7389, 8969 and 8610 GLP-1 RA users were matched to DPP-4i, SGLT2i and usual care. Versus DPP-4i, GLP-1 RA was associated with lower all-cause mortality (hazard ratio [HR] 0.61; 95% confidence interval [CI] 0.52-0.71), major adverse cardiovascular events (MACE; HR 0.83; 95% CI 0.71-0.98) and coded heart failure (HR 0.71; 95% CI 0.60-0.85). Versus SGLT2i, MACE (HR 0.81; 95% CI 0.69-0.95) and coded heart failure (HR 0.56; 95% CI 0.47-0.65) were lower, but all-cause mortality was not (HR 0.89; 95% CI 0.76-1.05). Gastroparesis was more frequent versus DPP-4i.

conclusionIn people with T2D and BMI < 27 kg/m

Indexed as

Diabetes Mellitus, Type 2Glucagon-Like Peptide-1 Receptor AgonistsHypoglycemic AgentsAgedBody Mass IndexDipeptidyl-Peptidase IV InhibitorsFemaleHeart FailureHumansMaleMiddle AgedSodium-Glucose Transporter 2 InhibitorsDipeptidyl-Peptidase IV InhibitorsGlucagon-Like Peptide-1 Receptor AgonistsHypoglycemic AgentsSodium-Glucose Transporter 2 Inhibitorscardiovascular outcomesGLP‐1 receptor agonistheart failuresemaglutidetarget trial emulationtirzepatideType 2 diabetes

Identifiers

PMID42642357
PMCPMC13646335

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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.