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Popular diabetes drugs may reduce the risk of dementia
Last reviewed: 02.07.2025

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People with type 2 diabetes who are treated with GLP-1 agonists have a reduced risk of developing dementia, according to a new study from Karolinska Institutet published in the journal eClinicalMedicine.
Drugs known as GLP-1 agonists or GLP-1 analogues are becoming increasingly popular in the treatment of type 2 diabetes and obesity because they help control blood sugar levels, promote weight loss and protect the heart.
People with type 2 diabetes have an increased risk of developing dementia, and it is hypothesized that newer diabetes drugs such as GLP-1 agonists and DPP-4 inhibitors may have a protective effect.
In a new registry-based study, researchers followed more than 88,000 older adults with type 2 diabetes for up to 10 years. Using a study design called a targeted emulation trial, which mimics a randomized clinical trial, they analyzed the association between three diabetes drugs (GLP-1 agonists, DPP-4 inhibitors, or sulfonylureas) and the risk of developing dementia.
May Help Doctors Make Better Decisions They found that patients who used GLP-1 agonists had a 30% lower risk of developing dementia compared with those who used sulfonylureas and a 23% lower risk compared with those who used DPP-4 inhibitors.
"This is important because it could help doctors make more informed decisions about which drugs to use for older patients with type 2 diabetes," says Bone Tan, a PhD student in Sarah Hagg's research group at the Department of Medical Epidemiology and Biostatistics at Karolinska Institutet. "However, proper randomized trials are needed to establish with certainty that GLP-1 agonists reduce the risk of dementia."