Diabetes complications

GLP-1 Receptor Agonists Are Associated With Reduced Mortality Following Diabetic Foot Ulcers: A Nationwide Observational Study

Diabetes CarePublished Retrospective cohort study

Authors' conclusion

One-year mortality after DFU remains high and is strongly linked to age and comorbidities. Community-based identification highlights the vulnerability of these patients, even outside hospital settings. Glucagon-like peptide 1 receptor agonists and structured, multidisciplinary follow-up are associated with better survival and should be prioritized. These findings underline the urgent need to reinforce preventive care and optimize care pathways for high-risk diabetic populations.

Study context

Population
Adults with incident (first) diabetic foot ulcer (DFU), January 2017–December 2018, French SNDS; inclusion by hospitalization records and community care data
Participants
133,791 adults
Outcome
1-year mortality following a first DFU (factors associated)
Follow-up
1 year
Methodological detailsnationwide, French National Health Data System (SNDS), Cox proportional hazards models
  • Nationwide
  • French National Health Data System (SNDS)
  • Cox proportional hazards models

Main finding

As reported in the abstract

1-year mortality after DFU

Died within 1 year

14.6%

Observational data: associations, not effects.

Secondary outcomes

Major amputation · 1 year

Underwent major amputation
3.5%

Mortality after major lower-limb amputation · within a year

Died within a year among those amputated
28.8%
Similar patterns for postamputation mortality; GLP-1 RA showed a consistent survival benefit

Original publication

GLP-1 Receptor Agonists Are Associated With Reduced Mortality Following Diabetic Foot Ulcers: A Nationwide Observational Study. Diabetes Care. Published 30 January 2026. doi:10.2337/dc25-2120

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