Diabetes complications

Association of semaglutide with less limb events in people with type 2 diabetes and peripheral artery disease or foot ulcers: An observational study comparing matched cohorts

Diabetes Obes MetabPublished Retrospective cohort study

Main finding · Major limb eventsResult — go to the resultHazard ratio 0.77 95% CI 0.61–0.97

Authors' conclusion

Among people with type 2 diabetes and PAD or foot ulcers, the use of semaglutide was associated with a significantly lower risk of major limb events than other GLTs.

Study context

Population
Adults with T2D and peripheral artery disease (PAD) or foot ulcers, new users of diabetes medications; 57% male, age 61 years, 12-year diabetes duration, baseline HbA1c 8.0%, body mass index (BMI) 31 kg/m²matched cohort
Participants
167 vs 167
Exposure
Semaglutide vs other glucose-lowering therapies (GLT)
  • Semaglutiden = 167
  • GLTn = 167reference
Outcome
Major limb events:
  • Peripheral PTA
  • Critical limb ischaemia
Follow-up
Median 30.1 months
Methodological detailssingle-centre, new users, propensity score matched
  • Single-centre
  • New users
  • Propensity score matched

Main finding

Major limb events

Hazard ratio

0.77

95% CI 0.61–0.97

P = 0.029

Events by group

Semaglutidevs GLT
HR 0.77 (95% CI 0.61–0.97); P = 0.029

As reported in the abstract

Observational data: associations, not effects.

Secondary outcomes

OutcomeHR (95% CI)P value
LEA (major and minor)50% lower with semaglutide0.50 (0.30–0.83)P = 0.008

Original publication

Association of semaglutide with less limb events in people with type 2 diabetes and peripheral artery disease or foot ulcers: An observational study comparing matched cohorts. Diabetes Obes Metab. Published 7 July 2025. doi:10.1111/dom.16594

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