Semaglutide Eases PAD Symptoms in‍ Diabetes Patients

⁣ ​ Updated June 22,2025

Semaglutide improves ⁤walking distance in patients ‍with diabetes and early symptomatic peripheral arterial disease (PAD),according to a⁢ new analysis. The benefits of this secondary_keyword_2, which is often an initial sign of cardiovascular​ issues in diabetics, appear consistent regardless of diabetes duration, body mass index, HbA1c‌ levels, or use⁤ of SGLT2 inhibitors⁤ or insulin.

The original STRIDE trial, which involved 792 patients​ with diabetes and ⁢PAD, randomly assigned participants to‌ either semaglutide 1‍ mg or a placebo. All patients experienced intermittent claudication‍ and had an ankle-brachial index of ⁢0.9 or less, or a toe-brachial index of‌ 0.7 or less.

The primary⁢ endpoint⁢ showed that ‌semaglutide substantially improved maximum walking distance after 52 weeks. For the new subanalysis, researchers assessed semaglutide’s ⁤treatment ‌effect versus ‌placebo, considering baseline‍ diabetes​ characteristics⁣ such as HbA1C, diabetes duration, and diabetes intensity.

The study found that​ the median‌ diabetes ⁤duration among participants was 12.2 ‍years,the average baseline‌ HbA1c was 7.1%, and the baseline BMI was 28.7 kg/m2. Approximately two-thirds of the patients were taking an SGLT2 inhibitor, ⁤and about 32% were using insulin.

Improvements in maximum walking distance with semaglutide were comparable, regardless of:

  • Diabetes duration (ETR, 1.15 for less than 10 years vs. 1.13 for 10 years or more).
  • BMI (ETR, 1.12 for less than 30⁣ kg/m2 vs. 1.16 for 30 kg/m2 or more).
  • HbA1c (ETR, 1.13 for less than 7% vs. 1.13 for 7% or more).
  • SGLT2 inhibitor use⁣ (ETR, 1.15 for use⁢ vs. 1.15 for nonuse).
  • Insulin use⁤ (ETR, 1.14 for use vs.⁢ 1.17 for nonuse).

Semaglutide‍ also improved pain-free walk distance across all subgroups. The safety profile of semaglutide remained consistent across all ​subgroups, according ‌to the study results. The findings⁢ were published in Diabetes Care.

Subodh Verma, a ⁣researcher involved in​ the ‍study, presented the findings at ‌the American Diabetes Association’s ⁣Scientific Sessions. He suggested that the benefits of⁢ semaglutide on peripheral ⁤arterial disease are not driven by weight loss, as​ the study population experienced only ⁤a small weight loss of about 4 kg. Verma believes ⁤this‍ could mark a transformative change in managing peripheral ⁤arterial disease, offering a new approach after 25 years for a debilitating condition.

“We don’t beleive that weight is driving this benefit; there was a very small 4⁢ kg weight loss in this ⁣population… We think this marks a transformative change in the management of‌ peripheral arterial disease, and it moves the field forward, after 25 years, for a problem that is debilitating for patients,” Verma said.

What’s next

the study’s ‌findings suggest that semaglutide could become a valuable tool in managing peripheral arterial disease ​in patients with diabetes, addressing a critical need for new treatment options. Further research may explore ‍the specific mechanisms through which semaglutide, a primary_keyword, improves PAD symptoms, ⁢potentially leading to⁣ even more targeted therapies.