Resumen de Investigación
Analyzed using Evidence Intelligence™

Dapagliflozin improves diabetes remission rates with calorie restriction

Última actualización 12 de septiembre de 2026

Key finding

Remission of diabetes was achieved in 44% (73/165) of patients in the dapagliflozin group and 28% (46/163) of patients in the placebo group (risk ratio 1.56, 95% CI 1.17 to 2.09; P=0.002).

This study evaluated the effectiveness of dapagliflozin combined with calorie restriction for achieving remission in type 2 diabetes. The dapagliflozin group showed a higher remission rate compared to the placebo group.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Long-Term (1–5 y)

Risk of bias

Some Concerns

Guarda investigacion, organiza estudios y vuelve a encontrar evidencia importante rapidamente.

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 effectiveness of dapagliflozin combined with calorie restriction for achieving remission in type 2 diabetes. The dapagliflozin group showed a higher remission rate compared to the placebo group.

Clinical relevance

These findings are significant as they suggest that dapagliflozin, when used with calorie restriction, can effectively help individuals with type 2 diabetes achieve remission. This could lead to better long-term health outcomes and reduced reliance on diabetes medications, highlighting the importance of combined lifestyle and pharmacological interventions in diabetes management.

Keep in mind

The study's sample size may limit the generalizability of the findings. The change in waist circumference was not statistically significant. Long-term effects and sustainability of remission were not assessed.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Yuejun L, Ying C, Jianhua M, et al. Dapagliflozin plus calorie restriction for remission of type 2 diabetes: a multicentre, double blind, randomised, placebo controlled trial. The BMJ. 2025;388:e081820. doi:10.1136/bmj-2024-081820

Efectos Principales

Dapagliflozin group achieved a diabetes remission rate of 44% compared to 28% in the placebo group (risk ratio 1.56, p=0.002).

The dapagliflozin group experienced a significant weight loss of -1.3 kg compared to placebo (p=0.001).

Fasting plasma glucose levels decreased by -9.2 mg/dL in the dapagliflozin group, significantly more than in the placebo group.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Calorie restriction and Body fat mass, Body weight, Diabetes remission, and 6 more.

Primary intervention

Calorie restriction

Primary outcomes

  • Body fat mass
  • Body weight
  • Diabetes remission

Evidence relationships

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

9
Evidence pairs
9
Relationships
10
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: 72

10

Related topics

9

Evidence pairs

3765

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 9 evidence relationships
  • Includes primary outcome data
  • Linked to 10 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Agrega evidencia relacionada a tu Evidence Tracker

Guarda estudios y paginas de evidencia, organiza tu Evidence Tracker y manten en un solo lugar la investigacion que te importa.

Evidencia principal

Tema de evidencia

Dietary Patterns

matched_intervention_and_outcome

Evidencia relacionada

Tema de evidencia

Insulin Resistance

Guardar evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

Body fat mass

Calorie restriction → Body fat mass

Calorie restriction → Body fat mass

Evidence Intelligence™
EvidenceScore™
79
Strong
ImpactScore™
83
Positive
ConsistencyScore™
67
generally_consistent
Estudios de apoyo: Basado en 3 estudios
Add to Evidence Tracker

Body weight

Calorie restriction → Body weight

Calorie restriction → Body weight

Evidence Intelligence™
EvidenceScore™
82
Strong
ImpactScore™
75
Positive
ConsistencyScore™
35
mixed
Estudios de apoyo: Basado en 6 estudios
Add to Evidence Tracker

Diabetes remission

Calorie restriction → Diabetes remission

Calorie restriction → Diabetes remission

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
100
Very Positive
ConsistencyScore™
100
consistent
Estudios de apoyo: Basado en 2 estudios
Add to Evidence Tracker

Fasting Plasma Glucose (FPG)

Calorie restriction → Fasting Plasma Glucose (FPG)

Calorie restriction → Fasting Plasma Glucose (FPG)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

HbA1c

Calorie restriction → HbA1c

Calorie restriction → HbA1c

Evidence Intelligence™
EvidenceScore™
83
Strong
ImpactScore™
90
Very Positive
ConsistencyScore™
80
consistent
Estudios de apoyo: Basado en 5 estudios
Add to Evidence Tracker

Insulin resistance

Calorie restriction → Insulin resistance

Calorie restriction → Insulin resistance

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
75
Positive
ConsistencyScore™
35
mixed
Estudios de apoyo: Basado en 2 estudios
Add to Evidence Tracker

Systolic blood pressure

Calorie restriction → Systolic blood pressure

Calorie restriction → Systolic blood pressure

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
100
Very Positive
ConsistencyScore™
100
consistent
Estudios de apoyo: Basado en 2 estudios
Add to Evidence Tracker

Triglycerides

Calorie restriction → Triglycerides

Calorie restriction → Triglycerides

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Waist circumference

Calorie restriction → Waist circumference

Calorie restriction → Waist circumference

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 4 studies
ImpactScore™
88
Very Positive
ConsistencyScore™
100
consistent
Estudios de apoyo: Basado en 4 estudios
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

  • Dapagliflozin led to a 44% remission rate in diabetes compared to 28% in placebo.
  • Participants on dapagliflozin lost an average of 1.3 kg more than those on placebo.
  • Fasting plasma glucose levels improved significantly more in the dapagliflozin group.
who this applies

A quién se aplica

  • Adults diagnosed with type 2 diabetes.
  • Individuals seeking weight loss and improved blood sugar control.
keep in mind

Tener en Cuenta

  • Results may not be applicable to all populations due to sample characteristics.
  • The study did not evaluate the long-term sustainability of diabetes remission.
  • Participants' adherence to calorie restriction may vary, affecting outcomes.
between the lines

Entre Líneas

  • The study's sample size may limit the generalizability of the findings.
  • The change in waist circumference was not statistically significant.
  • Long-term effects and sustainability of remission were not assessed.

Evidence Library

Build your evidence library

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

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Calorie restriction and HbA1c, Calorie restriction 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™.

Does Calorie restriction lower HbA1c?

Strong Evidence

Calorie restriction appears to lower HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Strong | EvidenceScore™ 83.4 | strong positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Calorie restriction affect body weight?

Strong Evidence

Calorie restriction may affect body weight.

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Body weight

    EvidenceScore™ Strong | EvidenceScore™ 82.3 | moderate positive | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Calorie restriction affect waist circumference?

Strong Evidence

Calorie restriction appears to affect waist circumference.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Waist circumference

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

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Calorie restriction improve body fat mass?

Strong Evidence

Calorie restriction may improve body fat mass.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Body fat mass

    EvidenceScore™ Strong | EvidenceScore™ 78.5 | moderate positive | ConsistencyScore™ Generally Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
Learn how Evidence Intelligence™ works

Next steps

Continue your research

Choose a next path through related evidence topics, Evidence Explorer views, and research summaries.

Sin anuncios. Sin rastreo.

Centrada en la evidencia, no en la publicidad.

Segura y privada

Tus datos siempre están protegidos.

Siempre al día

Se agregan nuevos estudios todos los días.