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Semaglutide 2026-06-14 EuropePMC

Proteomic Risk Model Guides Cardioprotective Therapy in Type 2 Diabetes Randomized Trial

Cardioprotective therapy in type 2 diabetes guided by a proteomic risk model: A randomized trial

Background

Type 2 Diabetes (T2D) affects nearly 600 million globally, with Cardiovascular Disease (CVD) remaining the leading cause of complications and death. Despite novel therapies like SGLT2 inhibitors and GLP-1 receptor agonists demonstrating proven cardioprotective benefits and guideline endorsement, their utilization remains critically low, reaching only 23% of eligible patients by 2023. This underutilization, driven by factors like physician awareness, insurance, and variable treatment responses, highlights a significant gap in care, leading to substantial healthcare costs and preventable mortality.

Why It Matters

This trial's approach to guiding cardioprotective therapy via a proteomic risk model could revolutionize how Type 2 Diabetes (T2D) patients receive crucial CVD prevention. If successful, such a model could precisely identify high-risk individuals, optimizing the prescription of SGLT2 inhibitors and GLP-1 receptor agonists and overcoming current underutilization barriers. Implementing a data-driven risk stratification could ensure the right patient gets the right therapy, reducing unnecessary exposure for lower-risk individuals while maximizing benefit for those most vulnerable. This could lead to more efficient healthcare resource allocation and significantly improve long-term cardiovascular outcomes for millions.


type-2-diabetes cardiovascular-disease proteomics sglt2-inhibitors glp-1-agonists risk-stratification
Source: europepmc:epmc_PMC13261207 · Ingested 2026-06-14 · Digest: gemini-2.5-flash