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Peer-Reviewed Publication
Diabetes Res Clin Pract2026;113504.August 20, 2026Journal Article

Trends in utilization of glucagon-like peptide‑1 receptor agonists, sodium-glucose cotransporter‑2 inhibitors, and metabolic bariatric surgery in U.S. Adults with diabetes and obesity.

Paige D Wartko1, Rui Zhang2, Eric Johnson3, Connor Begle2, Jennifer F Bobb3, Chixiang Chen4, Aditi Singh5, Lisa Ross3, Patrick J O'Connor6, David Arterburn3, Rozalina G McCoy7
1Kaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Suite 1360, Seattle, WA 98101, USA; Department of Epidemiology, School of Public Health, University of Washington, Hans Rosling Center for Population Health, 3980 15th Avenue NE, Box 351617, Seattle, WA 98195-1617, USA. Electronic address: paige.d.wartko@kp.org.
2University of Maryland Institute for Health Computing, North Bethesda, MD, USA.
3Kaiser Permanente Washington Health Research Institute, 1730 Minor Ave, Suite 1360, Seattle, WA 98101, USA.
4University of Maryland Institute for Health Computing, North Bethesda, MD, USA; Division of Biostatistics and Bioinformatics, Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD, USA.
5Division of Endocrinology, Diabetes, and Nutrition, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.
6HealthPartners Institute, Minneapolis, MN, USA.
7University of Maryland Institute for Health Computing, North Bethesda, MD, USA; Optum Labs, Eden Prairie, MN, USA; Division of Endocrinology, Diabetes, and Nutrition, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.

Abstract

AIMS: To characterize trends in utilization of glucagon-like peptide‑1 receptor agonists (GLP‑1RAs), sodium-glucose cotransporter‑2 inhibitors (SGLT2is), and metabolic/bariatric surgery among US adults with type 2 diabetes (T2D) and obesity. METHODS: We conducted a cohort study using electronic health record and claims data from Optum Labs Data Warehouse for US private and Medicare Advantage plan…

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