58. Blood Pressure Reduction Effect of Dapagliflozin in Patients with Type 2 Diabetes Mellitus: a Systematic Review

Hypertension is a common comorbidity in patients with Type 2 Diabetes Mellitus (T2DM). One of the new anti-diabetic classes is Sodium-Glucose Cotransporter-2 (SGLT2) inhibitor which is still widely tested in clinical trials for indications beyond T2DM. However, the effect on blood pressure in T2DM patients receiving SGLT2 inhibitors is still not well known. This study wants to find out the effect of Dapagliflozin on blood pressure in patients with T2DM. This study was conducted on 1–7 January 2023. Two independent researchers systematically extracted data from several databases, such as PubMed Central (PMC), Science Direct, and PUBMED by using MeSH terminology of keywords SGLT2 inhibitor and blood pressure. The extracted studies were then analyzed and selected according to our inclusion criteria such as studies in the last 5 years, T2DM patients receiving dapagliflozin, cohort studies, and case-control studies. We excluded systematic reviews, meta-analyses, case series, case reports, studies on pregnant women, children, and animals. Research quality was assessed using Newcastle-Ottawa (NOS). From 4 cohort studies (1664 subjects from various countries), all of them showed dapagliflozin administration resulted in reduction of systolic blood pressure. In some studies, the blood pressure-lowering effect of dapagliflozin administration was greater when combined with other classes of anti-diabetic drugs like Glucagon-Like Peptide-1 (GLP1) agonist; All studies have proven good quality based on NOS. In conclusion, dapagliflozin had a blood pressure-lowering effect in T2DM patients. However, further study is needed to confirm these findings.