• The number of publications on exosomes promoting diabetic wound healing has been continuously increasing from 2014 to 2024, indicating that this field has become an important research direction for the treatment of diabetic complications.
• China and the United States are the leading contributors in this research area, with China having the highest number of publications.
• Current research hotspots are shifting from molecular mechanisms to systematic interventions, with future focus on angiogenesis, macrophages, antibacterial strategies, and hydrogels.
• Multidisciplinary integration, such as combining biomaterials and gene editing technologies, may further expand the application potential of exosomes in diabetic wound healing.