Resumen de Investigación
Analyzed using Evidence Intelligence™

Empagliflozin reduces liver fat in diabetes patients

Última actualización 22 de julio de 2026

Key finding

Mean MRI-PDFF decreased from 15.289 ± 8.72 to 13.28 ± 7.15, P = 0.006.

The study investigated the effects of adding Empagliflozin to standard treatment in patients with Type 2 Diabetes, finding significant reductions in hepatic fat mass and BMI.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

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

The study investigated the effects of adding Empagliflozin to standard treatment in patients with Type 2 Diabetes, finding significant reductions in hepatic fat mass and BMI.

Clinical relevance

These findings are clinically significant as they suggest that Empagliflozin may be an effective addition to standard diabetes treatment, potentially improving liver health and reducing the risk of complications associated with hepatic steatosis in diabetic patients.

Keep in mind

Non-randomized design may introduce bias. Limited generalizability due to specific population characteristics. No significant changes observed in Fib-4 and NAFLD fibrosis scores.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Mona AA, Noha AS, Hala AS, Mohammed F, Hend AE. Adding Empagliflozin to Standard Treatment Reduces Hepatic Steatosis in Type 2 Diabetes Patients. Internal and Emergency Medicine. 2025;20(4):1025-1033. doi:10.1007/s11739-025-03902-w

Efectos Principales

Hepatic fat mass decreased by 1.999 percentage points (P = 0.006).

BMI decreased by 1.83 kg/m² (P < 0.001).

Fasting blood glucose decreased by 26.614 mg/dl (P = 0.017).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Empagliflozin and Alanine Aminotransferase (ALT), BMI, FIB-4 index, and 3 more.

Primary intervention

Empagliflozin

Primary outcomes

  • Alanine Aminotransferase (ALT)
  • BMI
  • FIB-4 index

Evidence relationships

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

6
Evidence pairs
6
Relationships
3
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

3

Related topics

6

Evidence pairs

451

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 6 evidence relationships
  • Includes primary outcome data
  • Linked to 3 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Evidencia principal

Relación de evidencia

SGLT2 Inhibitors and Fasting Glucose

Evidencia relacionada

Relación de evidencia

SGLT2 Inhibitors and Adipokine and Angiogenic Markers

Guardar evidencia

Relación de evidencia

SGLT2 Inhibitors and Body Mass Index

Guardar evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

Alanine Aminotransferase (ALT)

Empagliflozin → Alanine Aminotransferase (ALT)

Empagliflozin → Alanine Aminotransferase (ALT)

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

BMI

Empagliflozin → BMI

Empagliflozin → BMI

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 blood sugar (FBS)

Empagliflozin → Fasting blood sugar (FBS)

Empagliflozin → Fasting blood sugar (FBS)

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

FIB-4 index

Empagliflozin → FIB-4 index

Empagliflozin → FIB-4 index

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

NAFLD Fibrosis Score

Empagliflozin → NAFLD Fibrosis Score

Empagliflozin → NAFLD Fibrosis Score

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

Percentage change in hepatic fat mass measured by MRI-PDFF

Empagliflozin → Percentage change in hepatic fat mass measured by MRI-PDFF

Empagliflozin → Percentage change in hepatic fat mass measured by MRI-PDFF

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

Evidence Library

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evidence suggest

La Evidencia Sugiere

  • Hepatic fat mass reduced by 1.999 percentage points (P = 0.006).
  • BMI decreased by 1.83 kg/m² (P < 0.001).
  • Fasting blood glucose decreased by 26.614 mg/dl (P = 0.017).
who this applies

A quién se aplica

  • Adults with Type 2 Diabetes.
  • Patients experiencing hepatic steatosis.
keep in mind

Tener en Cuenta

  • Results may not apply to non-diabetic populations.
  • Long-term effects of Empagliflozin were not assessed.
  • Further studies are needed to confirm findings in larger, randomized cohorts.
between the lines

Entre Líneas

  • Non-randomized design may introduce bias.
  • Limited generalizability due to specific population characteristics.
  • No significant changes observed in Fib-4 and NAFLD fibrosis scores.

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 SGLT2 Inhibitors and Adipokine and Angiogenic Markers, SGLT2 Inhibitors and Body Mass Index.

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 SGLT2 Inhibitors improve fasting glucose?

Strong Evidence

SGLT2 Inhibitors may improve Fasting Glucose.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Fasting blood sugar (FBS)

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | strong positive | ConsistencyScore™ Consistent | 1 study

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

Limitations

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

Does SGLT2 Inhibitors improve adipokine and angiogenic markers?

Strong Evidence

SGLT2 Inhibitors may improve Adipokine and Angiogenic Markers.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Alanine Aminotransferase (ALT)

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | strong positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on 7 supporting studies with consistent results and a positive effect signal.

Limitations

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

Does SGLT2 Inhibitors affect body mass index?

Strong Evidence

SGLT2 Inhibitors appears to improve Body Mass Index.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    BMI

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | strong positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on 5 supporting studies with consistent results and a positive effect signal.

Limitations

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

Does Empagliflozin improve percentage change in hepatic fat mass measured by mri-pdff?

Emerging Evidence

Empagliflozin appears to improve Percentage change in hepatic fat mass measured by MRI-PDFF.

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

Ranked evidence signals

  1. 1

    Percentage change in hepatic fat mass measured by MRI-PDFF

    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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