- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- unclear
- Not enough independent studies
Empagliflozin reduces body fluid volume in type 2 diabetes patients
Última actualización 5 de julio de 2026
Key finding
A significant difference in body weight change was observed (empagliflozin, −0.58 [95%CI: -1.60, 0.43] kg; glimepiride, 1.20 [95%CI: 0.15, 2.26] kg; P = 0.02)
This study compared the effects of empagliflozin and glimepiride on endothelial function in individuals with type 2 diabetes, finding no significant differences in flow-mediated dilation but notable differences in body weight and fluid volume.
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 compared the effects of empagliflozin and glimepiride on endothelial function in individuals with type 2 diabetes, finding no significant differences in flow-mediated dilation but notable differences in body weight and fluid volume.
Clinical relevance
Understanding the differential effects of diabetes medications like empagliflozin and glimepiride is crucial for optimizing treatment strategies. The significant weight loss and fluid reduction associated with empagliflozin may improve cardiovascular health and overall management of type 2 diabetes, highlighting its potential as a preferred treatment option.
Keep in mind
The study's sample size may limit the generalizability of the findings. The trial duration may not capture long-term effects of the medications. Potential confounding factors were not fully controlled for.
Published in
Referencia de la Revista
Publication details and source links for this paper.
Haruka T, Yoshinobu K, Kohei I, et al. Empagliflozin and Glimepiride Effects on Endothelial Function in Type 2 Diabetes. PLOS ONE. 2022;17(2):e0262831. doi:10.1371/journal.pone.0262831
Efectos Principales
No significant differences in flow-mediated dilation were observed (empagliflozin: −0.11%; glimepiride: −0.34%; P = 0.73).
Empagliflozin resulted in a significant weight reduction of −0.58 kg compared to a weight increase of 1.20 kg with glimepiride (P = 0.02).
Body fluid volume significantly decreased by −0.33 L after empagliflozin treatment (P = 0.03).
Evidence network
How this study fits
Understand where this research contributes within the broader evidence network.
Evidence Context
This study contributes evidence to Empagliflozin, Glimepiride and Body weight, Brachial artery flow-mediated dilation (FMD), HbA1c, and 1 more.
This study contributes evidence to
Primary intervention
Empagliflozin
Primary outcomes
- Body weight
- Brachial artery flow-mediated dilation (FMD)
- HbA1c
Primary intervention
Primary outcomes
Evidence relationships
Intervention and outcome relationships this study adds to the evidence network.
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.
4
Related topics
8
Evidence pairs
373
Related studies
Why it is useful
- Contributes to 8 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
SGLT2 Inhibitors and Cardiovascular Outcomes
Evidencia relacionada
Relación de evidencia
SGLT2 Inhibitors and HbA1c
Guardar evidencia
Relación de evidencia
SGLT2 Inhibitors and Body Weight
Guardar evidencia
Core evidence
Study findings
The primary outcomes reported in this study.
- EvidenceScore™
- Strong
- Score 79 · Based on 3 studies
- ImpactScore™
- 83
- Positive
- ConsistencyScore™
- 100
- consistent
Brachial artery flow-mediated dilation (FMD)
Empagliflozin → Brachial artery flow-mediated dilation (FMD)
Empagliflozin → Brachial artery flow-mediated dilation (FMD)
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- unclear
- Not enough independent studies
- EvidenceScore™
- 74
- Moderate
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- 67
- generally_consistent
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- unclear
- Not enough independent studies
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 25
- Negative
- ConsistencyScore™
- unclear
- Not enough independent studies
Brachial artery flow-mediated dilation (FMD)
Glimepiride → Brachial artery flow-mediated dilation (FMD)
Glimepiride → Brachial artery flow-mediated dilation (FMD)
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- unclear
- Not enough independent studies
- EvidenceScore™
- Moderate
- Score 69 · Based on 2 studies
- ImpactScore™
- 53
- Neutral
- ConsistencyScore™
- 35
- mixed
Evidence Library
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La Evidencia Sugiere
- Empagliflozin led to a significant weight loss of −0.58 kg compared to glimepiride.
- Body fluid volume decreased by −0.33 L with empagliflozin treatment.
- No significant changes in flow-mediated dilation were found between treatments.
A quién se aplica
- Adults diagnosed with type 2 diabetes.
- Individuals seeking medication options for diabetes management.
Tener en Cuenta
- Results may not be applicable to populations outside the study sample.
- The study focused on short-term outcomes; long-term effects remain uncertain.
- Differences in individual responses to medications may vary.
Entre Líneas
- The study's sample size may limit the generalizability of the findings.
- The trial duration may not capture long-term effects of the medications.
- Potential confounding factors were not fully controlled for.
Evidence Library
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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 SGLT2 Inhibitors and Body Weight, SGLT2 Inhibitors and HbA1c.
Relaciones de evidencia relacionadas
Explore in Evidence ExplorerThis study contributes to the evidence on the following intervention-outcome relationships.
SGLT2 Inhibitors → Body Weight
Medications
- EvidenceScore™
- Strong
- Score 79 · Based on 3 studies
- ImpactScore™
- 83
- Positive
- ConsistencyScore™
- 100
- consistent
SGLT2 Inhibitors → HbA1c
Medications
- EvidenceScore™
- 74
- Moderate
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- 67
- generally_consistent
Incluido en estas colecciones de evidencia
Curated evidence collections and hubs this study is part of.
Body Weight Evidence Hub
All studies measuring Body Weight
Measures Body Weight as a key outcome.
HbA1c Evidence Hub
All studies measuring HbA1c
Measures HbA1c as a key outcome.
SGLT2 Inhibitors Evidence Hub
All studies on SGLT2 Inhibitors
Contributes to SGLT2 Inhibitors evidence base.
Explora más en Evidence Explorer
Jump to pre-filtered views in Evidence Explorer.
All studies on Empagliflozin and Body weight
3 results
All studies on Empagliflozin and HbA1c
3 results
All studies on Empagliflozin
3 results
All studies measuring Body weight
3 results
All studies measuring HbA1c
3 results
Questions answered by this study
Generated from the study's connected evidence using Evidence Intelligence™.
Does SGLT2 Inhibitors improve cardiovascular outcomes?
SGLT2 Inhibitors may improve Cardiovascular Outcomes.
ConsistencyScore™: Results are generally consistent across studies.
Ranked evidence signals
- 1
Brachial artery flow-mediated dilation (FMD)
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on 5 supporting studies with generally consistent results and a positive effect signal.
Limitations
- Population details are unavailable.
Does SGLT2 Inhibitors improve HbA1c?
SGLT2 Inhibitors may improve HbA1c.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
- 1
HbA1c
EvidenceScore™ Moderate | EvidenceScore™ 74.4 | neutral | ConsistencyScore™ Generally Consistent | 1 study
Why this answer: This answer is based on 9 supporting studies with consistent results and a positive effect signal.
Limitations
- Population details are unavailable.
Does SGLT2 Inhibitors affect body weight?
SGLT2 Inhibitors may improve Body Weight.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
- 1
Body weight
EvidenceScore™ Strong | EvidenceScore™ 79.0 | moderate positive | ConsistencyScore™ Consistent | 1 study
Why this answer: This answer is based on 4 supporting studies with consistent results and a positive effect signal.
Limitations
- Population details are unavailable.
Does Sulfonylureas improve HbA1c?
Sulfonylureas may improve HbA1c.
ConsistencyScore™: Results are generally consistent across studies.
Ranked evidence signals
- 1
HbA1c
EvidenceScore™ Moderate | EvidenceScore™ 69.0 | neutral | ConsistencyScore™ Mixed | 1 study
Why this answer: This answer is based on 3 supporting studies with generally consistent results and a positive effect signal.
Limitations
- Population details are unavailable.
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