Diabetes complications

Clinical outcomes associated with glucagon-like peptide-1 receptor agonist therapy in patients with peripheral artery disease and diabetes

Diabetes MetabPublished Retrospective cohort study

Main finding · MALEResult — go to the resultAdjusted hazard ratio 0.65 95% CI 0.44–0.94

Authors' conclusion

In patients with PAD and diabetes, GLP1-RA exposure was associated with favorable clinical outcomes. Time-aligned analyses demonstrated a lower risk of all-cause mortality, while sustained GLP1-RA exposure was associated with lower MALE risk.

Study context

Population
Adults with peripheral artery disease (PAD) and diabetes, Clalit Health Services database
Participants
20,031 adults
Exposure
GLP-1 RA exposure vs non-use
  • GLP1-RAn = 5,960
  • Non-usersn = 14,071reference
Outcome
MALE: lower-limb revascularization or amputation
Methodological detailsinverse probability of treatment weighting, incident-treatment risk-set approach, time-varying persistent-use model
  • Inverse probability of treatment weighting
  • Incident-treatment risk-set approach
  • Time-varying persistent-use model

Main finding

MALE

Adjusted hazard ratio

0.65

95% CI 0.44–0.94

P = 0.022

GLP1-RAvs Non-users
adjusted HR 0.65 (95% CI 0.44–0.94); P = 0.022

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)P value
All-cause mortalityTime-aligned risk-set analysis0.80 (0.73–0.88)P < 0.001

Revascularization, major amputation and all-cause mortality (IPTW-weighted analysis)

GLP1-RA exposure associated with lower risks of revascularization, major amputation and all-cause mortality

Original publication

Clinical outcomes associated with glucagon-like peptide-1 receptor agonist therapy in patients with peripheral artery disease and diabetes. Diabetes Metab. Published 24 September 2026. doi:10.1016/j.diabet.2026.101794

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