Type 2 & other diabetes

Glucagon-like peptide-1 receptor agonists and risk of osteoarthritis among individuals with type 2 diabetes: A population-based cohort study

Diabetes Res Clin PractPublished Population-based cohort study

Main finding · OsteoarthritisResult — go to the resultHazard ratio 0.93 95% CI 0.83–1.05

Authors' conclusion

The use of GLP-1RAs, primarily dulaglutide, was not associated with lower risk of osteoarthritis compared with DPP4Is use among patients with T2DM.

Study context

Population
Adults with T2D initiating GLP-1 RA or DPP-4i, National Health Insurance Service data of South Korea (2010–2022)nationwide cohort
Exposure
GLP-1 RA vs DPP-4i initiation
Outcome
Incident osteoarthritis
Methodological detailsnationwide, target trial emulation, propensity score fine stratification weighting
  • Nationwide
  • Target trial emulation
  • Propensity score fine stratification weighting

Main finding

Osteoarthritis

Hazard ratio

0.93

95% CI 0.83–1.05

By group

GLP-1RAs

3.99 per 100 person-years

CI 3.54–4.48

DPP4Is

4.36 per 100 person-years

CI 4.34–4.38

GLP-1RAsvs DPP4Is
HR 0.93 (95% CI 0.83–1.05)

As reported in the abstract

Observational data: associations, not effects.

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Glucagon-like peptide-1 receptor agonists and risk of osteoarthritis among individuals with type 2 diabetes: A population-based cohort study. Diabetes Res Clin Pract. Published 7 January 2026. doi:10.1016/j.diabres.2026.113091

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