Resumen de Investigación
Analyzed using Evidence Intelligence™

Combination Therapy Reduces HbA1c and Weight in Type 2 Diabetes

Última actualización 12 de septiembre de 2026

Key finding

HbA1c reductions ranged from -8.4 to -26.1 mmol/mol.

This study evaluated the effects of exenatide once weekly combined with dapagliflozin on HbA1c and body weight in adults with type 2 diabetes, finding significant reductions in both measures.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Extended (5–20+ y)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study evaluated the effects of exenatide once weekly combined with dapagliflozin on HbA1c and body weight in adults with type 2 diabetes, finding significant reductions in both measures.

Clinical relevance

These findings are significant as they suggest that combining exenatide with dapagliflozin could offer a more effective treatment strategy for managing type 2 diabetes, potentially improving patient outcomes and quality of life.

Keep in mind

Effectiveness data were unclear for some outcomes. The study did not specify the sample size. Generalizability may be limited to specific populations.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Juan PF, Elise H, Azazuddin A, et al. Exenatide Once Weekly Plus Dapagliflozin Reduces HbA1c and Body Weight in Adults with Type 2 Diabetes. Diabetes, Obesity & Metabolism. 2018;20(6):1520-1525. doi:10.1111/dom.13296

Efectos Principales

HbA1c was reduced by -8.4 mmol/mol with exenatide once weekly plus dapagliflozin.

Body weight decreased by -2.07 kg with exenatide once weekly plus dapagliflozin.

HbA1c was reduced by -8.4 mmol/mol with exenatide once weekly.

Body weight decreased by -2.07 kg with dapagliflozin.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Dapagliflozin, Exenatide, Exenatide once weekly plus dapagliflozin and Body weight, HbA1c.

Primary intervention

Dapagliflozin

Primary outcomes

  • Body weight
  • HbA1c

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

6
Evidence pairs
6
Relationships
4
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 68

4

Related topics

6

Evidence pairs

1122

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 6 evidence relationships
  • Includes primary outcome data
  • Linked to 4 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Evidencia principal

Relación de evidencia

GLP-1 Receptor Agonists and HbA1c

Evidencia relacionada

Relación de evidencia

SGLT2 Inhibitors and HbA1c

Guardar evidencia

Relación de evidencia

GLP-1 Receptor Agonists and Body Weight

Guardar evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

Body weight

Dapagliflozin → Body weight

Dapagliflozin → Body weight

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

HbA1c

Dapagliflozin → HbA1c

Dapagliflozin → HbA1c

Evidence Intelligence™
EvidenceScore™
82
Strong
ImpactScore™
79
Positive
ConsistencyScore™
100
consistent
Estudios de apoyo: Basado en 9 estudios
Add to Evidence Tracker

Body weight

Exenatide → Body weight

Exenatide → Body weight

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 3 studies
ImpactScore™
83
Positive
ConsistencyScore™
100
consistent
Estudios de apoyo: Basado en 3 estudios
Add to Evidence Tracker

HbA1c

Exenatide → HbA1c

Exenatide → HbA1c

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 3 studies
ImpactScore™
83
Positive
ConsistencyScore™
100
consistent
Estudios de apoyo: Basado en 3 estudios
Add to Evidence Tracker

Body weight

Exenatide once weekly plus dapagliflozin → Body weight

Exenatide once weekly plus dapagliflozin → Body weight

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

HbA1c

Exenatide once weekly plus dapagliflozin → HbA1c

Exenatide once weekly plus dapagliflozin → HbA1c

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

evidence suggest

La Evidencia Sugiere

  • Exenatide once weekly plus dapagliflozin reduced HbA1c by -8.4 mmol/mol.
  • Body weight decreased by -2.07 kg with the combination therapy.
  • Dapagliflozin alone also reduced HbA1c by -8.4 mmol/mol.
who this applies

A quién se aplica

  • Adults diagnosed with type 2 diabetes.
  • Individuals seeking additional treatment options for blood sugar control.
keep in mind

Tener en Cuenta

  • Results may not apply to all demographics of type 2 diabetes patients.
  • Further studies are needed to confirm long-term effectiveness.
  • The study did not assess the impact of lifestyle changes.
between the lines

Entre Líneas

  • Effectiveness data were unclear for some outcomes.
  • The study did not specify the sample size.
  • Generalizability may be limited to specific populations.

Evidence Library

Build your evidence library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on SGLT2 Inhibitors and HbA1c, GLP-1 Receptor Agonists and Body Weight.

Relaciones de evidencia relacionadas

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Do GLP-1 Receptor Agonists lower HbA1c?

Strong Evidence

GLP-1 Receptor Agonists appear to lower HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | moderate positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on 45 supporting studies with consistent results and a positive effect signal.

45 supporting studies

Do SGLT2 Inhibitors lower HbA1c?

Strong Evidence

SGLT2 Inhibitors may lower HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Strong | EvidenceScore™ 82.5 | moderate positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on 27 supporting studies with consistent results and a positive effect signal.

27 supporting studies

Do GLP-1 Receptor Agonists affect body weight?

Strong Evidence

GLP-1 Receptor Agonists may affect body weight.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Body weight

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | moderate positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on 43 supporting studies with consistent results and a positive effect signal.

43 supporting studies

Do SGLT2 Inhibitors affect body weight?

Strong Evidence

SGLT2 Inhibitors may affect body weight.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Body weight

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 11 supporting studies with consistent results and a positive effect signal.

11 supporting studies
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