Resumen de Investigación
Analyzed using Evidence Intelligence™

Dapagliflozin shows no long-term harm to bone health in women with diabetes

Última actualización 6 de julio de 2026

Key finding

Trabecular thickness was significantly higher in the dapagliflozin group (0.230 ± 0.02 vs 0.218 ± 0.01, p=0.003).

This study investigated the effects of dapagliflozin on bone metabolism in post-menopausal women with type 2 diabetes, finding significant improvements in trabecular and cortical thickness.

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

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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 investigated the effects of dapagliflozin on bone metabolism in post-menopausal women with type 2 diabetes, finding significant improvements in trabecular and cortical thickness.

Clinical relevance

Understanding the impact of dapagliflozin on bone metabolism is crucial for managing the health of post-menopausal women with type 2 diabetes, a group at increased risk for osteoporosis. The findings suggest that dapagliflozin may offer additional benefits beyond glucose control, potentially improving bone health and reducing fracture risk in this population.

Keep in mind

The study did not measure long-term effects on fracture risk. Sample size and demographic characteristics may limit generalizability. The study design does not allow for causal conclusions.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Sanjay KB, Liza D, Mintu B, et al. Effects of Dapagliflozin on Bone Metabolism in Post-Menopausal Women with Type 2 Diabetes. Journal of the Endocrine Society. 2024;8(Suppl 1):bvae163.370. doi:10.1210/jendso/bvae163.370

Efectos Principales

Trabecular thickness was significantly higher in the dapagliflozin group (0.230 ± 0.02 vs 0.218 ± 0.01, p=0.003).

Cortical thickness was significantly higher in the dapagliflozin group (1.104 ± 0.2 vs 0.998 ± 0.2, p=0.04).

Intra-cortical porosity was significantly higher in the dapagliflozin group (0.008 ± 0.005 vs 0.005 ± 0.003, p=0.020).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Dapagliflozin and Bone mineral density (BMD), Bone mineral density (BMD) at distal radius, Bone mineral density (BMD) at femoral neck, and 7 more.

Primary intervention

Dapagliflozin

Primary outcomes

  • Bone mineral density (BMD)
  • Bone mineral density (BMD) at distal radius
  • Bone mineral density (BMD) at femoral neck

Evidence relationships

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

10
Evidence pairs
10
Relationships
2
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: 64

2

Related topics

10

Evidence pairs

22

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 10 evidence relationships
  • Includes primary outcome data
  • Linked to 2 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Evidencia principal

Relación de evidencia

SGLT2 Inhibitors and Kidney Function

Evidencia relacionada

Relación de evidencia

SGLT2 Inhibitors and Bone Mineral Density

Seguir evidencia

Tema de evidencia

Bone Mineral Density

Seguir evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

Bone mineral density (BMD)

Dapagliflozin → Bone mineral density (BMD)

Dapagliflozin → Bone mineral density (BMD)

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Bone mineral density (BMD) at distal radius

Dapagliflozin → Bone mineral density (BMD) at distal radius

Dapagliflozin → Bone mineral density (BMD) at distal radius

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Bone mineral density (BMD) at femoral neck

Dapagliflozin → Bone mineral density (BMD) at femoral neck

Dapagliflozin → Bone mineral density (BMD) at femoral neck

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Cortical pore diameter (Ct.Po.Dm) at radius

Dapagliflozin → Cortical pore diameter (Ct.Po.Dm) at radius

Dapagliflozin → Cortical pore diameter (Ct.Po.Dm) at radius

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Cortical pore diameter (Ct.Po.Dm) at tibia

Dapagliflozin → Cortical pore diameter (Ct.Po.Dm) at tibia

Dapagliflozin → Cortical pore diameter (Ct.Po.Dm) at tibia

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Cortical thickness (Co.Th)

Dapagliflozin → Cortical thickness (Co.Th)

Dapagliflozin → Cortical thickness (Co.Th)

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Intra-cortical porosity (Ct.Po)

Dapagliflozin → Intra-cortical porosity (Ct.Po)

Dapagliflozin → Intra-cortical porosity (Ct.Po)

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Serum CTX-1

Dapagliflozin → Serum CTX-1

Dapagliflozin → Serum CTX-1

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Serum P1NP

Dapagliflozin → Serum P1NP

Dapagliflozin → Serum P1NP

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Trabecular thickness (Tb.Th)

Dapagliflozin → Trabecular thickness (Tb.Th)

Dapagliflozin → Trabecular thickness (Tb.Th)

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

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Evidence Tracker

12 tracked topics

Saved Studies

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Research Notes

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evidence suggest

La Evidencia Sugiere

  • Dapagliflozin improved trabecular thickness by 0.012 cm (p=0.003).
  • Cortical thickness increased by 0.106 cm with dapagliflozin (p=0.04).
  • Intra-cortical porosity increased by 0.003 cm (p=0.020).
who this applies

A quién se aplica

  • Post-menopausal women aged 50 and older.
  • Individuals diagnosed with type 2 diabetes.
keep in mind

Tener en Cuenta

  • Results may not apply to pre-menopausal women or men.
  • The study's short duration limits understanding of long-term effects.
  • Further research is needed to explore the clinical significance of findings.
between the lines

Entre Líneas

  • The study did not measure long-term effects on fracture risk.
  • Sample size and demographic characteristics may limit generalizability.
  • The study design does not allow for causal conclusions.

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Today's Activity

Your Evidence Workspace

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Saved this study

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12 tracked topics

Saved Studies

48 studies

Research Notes

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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 Bone Mineral Density, SGLT2 Inhibitors and Bone Mineral Density.

Relaciones de evidencia relacionadas

Explore in Evidence Archive

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 SGLT2 Inhibitors improve kidney function?

Strong Evidence

SGLT2 Inhibitors may improve Kidney Function.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Serum CTX-1

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

Why this answer: This answer is based on 6 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
6 supporting studiesUpdated: Jul 2026

Does SGLT2 Inhibitors improve bone mineral density?

Emerging Evidence

Current evidence does not show a clear benefit of SGLT2 Inhibitors for Bone Mineral Density.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Bone mineral density (BMD)

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

  2. 2

    Bone mineral density (BMD) at distal radius

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

  3. 3

    Bone mineral density (BMD) at femoral neck

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

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

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Dapagliflozin improve cortical pore diameter (ct.po.dm) at radius?

Emerging Evidence

Dapagliflozin appears to improve Cortical pore diameter (Ct.Po.Dm) at radius.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Cortical pore diameter (Ct.Po.Dm) at radius

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

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

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Dapagliflozin improve cortical pore diameter (ct.po.dm) at tibia?

Emerging Evidence

Dapagliflozin appears to improve Cortical pore diameter (Ct.Po.Dm) at tibia.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Cortical pore diameter (Ct.Po.Dm) at tibia

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

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

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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