Type 2 & other diabetes

Impact of glucagon‐like peptide‐1 receptor agonists on the incidence of inflammatory bowel disease in people with type 2 diabetes

Diabetes Obes MetabPublished Retrospective cohort study

Authors' conclusion

Among patients with T2DM, GLP-1 RA users demonstrated a significantly lower risk of developing IBD than basal insulin and DPP-4i users. GLP-1 RA users also showed a lower risk of hospitalisation. GLP-1 RAs may contribute to lowering the risk of IBD in individuals with T2DM.

Study context

Population
Patients with T2D, TriNetX US collaborative network, 1 January 2014 to 31 December 2022matched cohorts
Participants
3,165,521 patients
Exposure
GLP-1 RA vs basal insulin, DPP-4i and SGLT2i
Outcome
Development of inflammatory bowel disease (IBD)
Methodological detailspropensity-score matched, TriNetX US collaborative network
  • Propensity-score matched
  • TriNetX US collaborative network

Main finding

As reported in the abstract

IBD
Hazard ratio (95% CI)
GLP-1 RAvs Basal insulin
0.725(0.564–0.931)
GLP-1 RAvs DPP-4i
0.814(0.686–0.966)

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
HospitalisationGLP-1 RAvs Basal insulin0.144 (0.140–0.148)
HospitalisationGLP-1 RAvs DPP-4i0.660 (0.647–0.672)
HospitalisationGLP-1 RAvs SGLT2i0.792 (0.775–0.809)

Original publication

Impact of glucagon‐like peptide‐1 receptor agonists on the incidence of inflammatory bowel disease in people with type 2 diabetes. Diabetes Obes Metab. Published 27 August 2025. doi:10.1111/dom.70034

Composed by AI from the published abstract and checked against it. How Briefs are made →

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