Resumen de Investigación
Analyzed using Evidence Intelligence™

Empagliflozin/Metformin Combination Improves Glycemic Control

Última actualización 10 de septiembre de 2026

Key finding

HbA1c decreased by -0.6% (p < 0.05)

The study evaluated the effects of the Empagliflozin/Metformin combination on glycemic control in Type 1 Diabetes, finding significant improvements in several health markers.

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 evaluated the effects of the Empagliflozin/Metformin combination on glycemic control in Type 1 Diabetes, finding significant improvements in several health markers.

Clinical relevance

Improving glycemic control and reducing weight are critical for managing Type 1 Diabetes, as they can lower the risk of complications. The significant reductions in HbA1c and body weight observed in this study highlight the potential of the Empagliflozin/Metformin combination as a viable treatment option, which could enhance the quality of life for patients and reduce long-term health risks.

Keep in mind

Limited sample size may affect generalizability. Exact values for some outcomes were not specified. Short duration of the study may not capture long-term effects.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Miodrag J, Andrej J, Mi&#353;o &, et al. The Empagliflozin/Metformin Combination Improves Glycemic Control in Type 1 Diabetes. Journal of Clinical Medicine. 2024;13(22):6860. doi:10.3390/jcm13226860

Efectos Principales

HbA1c decreased by -0.6% (p < 0.05)

Body weight decreased by -6.1 kg (p < 0.05)

Urinary albumin-to-creatinine ratio decreased by -31.4% (p = 0.002)

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Empagliflozin, Empagliflozin/Metformin Combination, Metformin and Change in liver indices, Estimated Daily Proteinuria, Urinary albumin-to-creatinine ratio, and 5 more.

Primary intervention

Empagliflozin

Primary outcomes

  • Change in liver indices
  • Estimated Daily Proteinuria
  • Urinary albumin-to-creatinine ratio

Evidence relationships

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

8
Evidence pairs
8
Relationships
5
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

5

Related topics

8

Evidence pairs

1202

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 8 evidence relationships
  • Includes primary outcome data
  • Linked to 5 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 Kidney Function

Evidencia relacionada

Tema de evidencia

Diabetic Kidney Disease

Guardar evidencia

Tema de evidencia

HbA1c Reduction

Guardar evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

Change in liver indices

Empagliflozin → Change in liver indices

Empagliflozin → Change in liver indices

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

Estimated Daily Proteinuria

Empagliflozin → Estimated Daily Proteinuria

Empagliflozin → Estimated Daily Proteinuria

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

Urinary albumin-to-creatinine ratio

Empagliflozin → Urinary albumin-to-creatinine ratio

Empagliflozin → Urinary albumin-to-creatinine ratio

Evidence Intelligence™
EvidenceScore™
78
Strong
ImpactScore™
67
Slightly Positive
ConsistencyScore™
100
consistent
Estudios de apoyo: Basado en 3 estudios
Add to Evidence Tracker

Body weight

Empagliflozin/Metformin Combination → Body weight

Empagliflozin/Metformin Combination → Body weight

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

FIB-4 index

Empagliflozin/Metformin Combination → FIB-4 index

Empagliflozin/Metformin Combination → FIB-4 index

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

Empagliflozin/Metformin Combination → HbA1c

Empagliflozin/Metformin Combination → HbA1c

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

Uric Acid

Empagliflozin/Metformin Combination → Uric Acid

Empagliflozin/Metformin Combination → Uric Acid

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

Reduced insulin requirements after surgery

Metformin → Reduced insulin requirements after surgery

Metformin → Reduced insulin requirements after surgery

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

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evidence suggest

La Evidencia Sugiere

  • HbA1c levels decreased by -0.6%, indicating improved glycemic control.
  • Body weight reduced by -6.1 kg, suggesting potential for weight management.
  • Urinary albumin-to-creatinine ratio decreased by -31.4%, reflecting kidney health improvement.
who this applies

A quién se aplica

  • Adults with Type 1 Diabetes seeking improved glycemic control.
  • Patients struggling with weight management in conjunction with diabetes.
keep in mind

Tener en Cuenta

  • Results may not apply to all demographics due to sample characteristics.
  • Further studies are needed to confirm long-term benefits.
  • The study did not explore potential side effects of the combination treatment.
between the lines

Entre Líneas

  • Limited sample size may affect generalizability.
  • Exact values for some outcomes were not specified.
  • Short duration of the study may not capture long-term effects.

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 Metformin Therapies and HbA1c, SGLT2 Inhibitors and HbA1c.

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 SGLT2 Inhibitors improve kidney function?

Strong Evidence

SGLT2 Inhibitors may improve kidney function.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Urinary albumin-to-creatinine ratio

    EvidenceScore™ Strong | EvidenceScore™ 77.9 | weak positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on 12 supporting studies with consistent results and a positive effect signal.

12 supporting studies

Does Empagliflozin improve estimated daily proteinuria?

Emerging Evidence

Empagliflozin appears to improve estimated daily proteinuria.

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

Ranked evidence signals

  1. 1

    Estimated Daily Proteinuria

    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.
1 supporting study

Does Empagliflozin/Metformin Combination affect body weight?

Emerging Evidence

Empagliflozin/Metformin Combination appears to affect body weight.

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

Ranked evidence signals

  1. 1

    Body weight

    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.
1 supporting study

Does Empagliflozin/Metformin Combination improve fib-4 index?

Emerging Evidence

Empagliflozin/Metformin Combination appears to improve fib-4 index.

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

Ranked evidence signals

  1. 1

    FIB-4 index

    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.
1 supporting study
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