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Exclusion criteria included diagnosis of type 1 diabetes, pregnancy, use of any GLP-1 RA or DPP4i during the baseline period, use of 2 types of products in the index drug class on the index date, initiation of another new glucose-lowering drug class on the index date, bariatric surgery, or use of antiobesity medications during the study period

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This action was seen when DPP-4 inhibitors were used both as monotherapy and as add-on to other therapies, i.e., metformin, sulfonylureas, tiazolidinediones or exogenous insulin