For people with type 2 diabetes who already have nerve damage in their feet, a matched comparison of 39,540 US patients found fewer foot ulcers on GLP-1 receptor agonists than on DPP-4 inhibitors — and nearly twice the rate of Charcot neuroarthropathy, a joint-destroying complication of the foot. Amputation and bone-infection rates were the same … Read more
A network meta-analysis published in Endocrinology, Diabetes & Metabolism pooled 43 studies covering 932,380 patients and compared bariatric surgery against GLP-1 receptor agonists on hard cardiovascular outcomes. Surgery was associated with reductions in major adverse cardiovascular events, heart failure and myocardial infarction. The drugs were associated with a reduction in major adverse cardiovascular events but … Read more
A study published this month in Ophthalmology Retina looked for a link between GLP-1 drugs and non-arteritic anterior ischemic optic neuropathy, a sudden and usually permanent loss of vision in one eye. Across 19,505 adults with type 2 diabetes it found 29 cases in total, and could not rule out either a real effect or … Read more
A research brief published in Pediatrics on 4 September finds that GLP-1 prescribing to children aged 8 to 11 with obesity rose steeply between 2019 and 2026 while remaining uncommon: across 3,520,531 children in the dataset, 0.6% received a prescription. Every one of those prescriptions was off-label. The three drugs counted are labelled from age … Read more
The FDA proposed not to include semaglutide, tirzepatide and liraglutide on the 503B bulks list — the roster of substances outsourcing facilities may legally compound from bulk. The agency stated it had reviewed the nominations it received and did not find sufficient evidence of a clinical need for any of the three. If finalised, the … Read more