For patients with type 2 diabetes and coexisting heart failure and chronic kidney disease, an SGLT2 inhibitor is recommended as first-line therapy. This class lowers the risk of heart failure hospitalization and slows progression of chronic kidney disease, independent of its glucose-lowering effect.

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For most patients with type 2 diabetes and heart failure, an SGLT2 inhibitor is the preferred choice because it has the strongest evidence for reducing heart failure hospitalizations and slowing progression of chronic kidney disease.
Top 5 national prescribing patterns associated with bacterial infections (Jun 2025–Feb 2026)
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