Prescribing of SGLT2 inhibitors in primary care: a qualitative study of General Practitioners and Endocrinologists

Tamara Y. Milder*, Sophie L. Stocker, Melissa Baysari, Richard O. Day, Jerry R. Greenfield

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

14 Citations (Scopus)


Aims: To explore: 1) General Practitioners’ (GPs’) perspectives regarding initiating SGLT2 inhibitors and the resources that inform their pharmacotherapy choices; and 2) The support provided to GPs by Endocrinologists in relation to the prescription of type 2 diabetes medications. Methods: Semi-structured interviews with 15 GPs and 12 Endocrinologists working in diverse areas in New South Wales, Australia. Interviews were recorded, transcribed, and emergent themes were identified using a general inductive approach. Results: Under-appreciation of the cardio-renal benefits of SGLT2 inhibitors, a preference for an Endocrinologist to initiate therapy, and patients’ experiences with adverse effects were identified as reasons for low rates of initiating SGLT2 inhibitors by some GPs. GPs reported that they would like to receive education about this topic from Endocrinologists, ideally via case-based discussions. A perceived challenge faced by Endocrinologists in providing GP education included potential constraints on talk content imposed by industry at sponsored events. Endocrinologists indicated that interactive sessions were most useful to GPs. Conclusions: Despite the evidence for the cardio-renal benefits of SGLT2 inhibitors, there are barriers to GPs prescribing these agents. Case-based discussions between GPs and Endocrinologists about type 2 diabetes treatment including the role of SGLT2 inhibitors could overcome some of these barriers.

Original languageEnglish
Article number109036
Pages (from-to)1-7
Number of pages7
JournalDiabetes Research and Clinical Practice
Early online date2 Sept 2021
Publication statusPublished - Oct 2021
Externally publishedYes


  • Cardiovascular
  • Education
  • Primary care
  • Qualitative study
  • SGLT2 inhibitors
  • Type 2 diabetes


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