Research Summary
Analyzed using Evidence Intelligence™

Baseline features predict exenatide efficacy in type 2 diabetes

Last updated July 18, 2026

Key finding

HbA1c decreased significantly from baseline in responders.

This study evaluated how baseline characteristics and metabolomic features can predict the effectiveness of exenatide in lowering glucose levels in patients with type 2 diabetes mellitus (T2DM).

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Extended (5–20+ 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 evaluated how baseline characteristics and metabolomic features can predict the effectiveness of exenatide in lowering glucose levels in patients with type 2 diabetes mellitus (T2DM).

Clinical relevance

Understanding which patients are likely to benefit from exenatide can help clinicians tailor diabetes treatment more effectively. By identifying responders based on baseline characteristics and metabolomic profiles, healthcare providers can optimize management strategies for T2DM, potentially improving patient outcomes.

Keep in mind

The study included only one intervention arm, limiting comparative analysis. Results may not be generalizable to all T2DM populations. Potential confounding factors were not fully addressed.

Published in

Journal Reference

Publication details and source links for this paper.

Yunyi L, Jin Y, Qi W, et al. Combination of baseline characteristics and metabolomic features predicts glucose-lowering efficacy of exenatide in T2DM. Metabolism Open. 2026;29:100453. doi:10.1016/j.metop.2026.100453

Main Effects

HbA1c decreased by 1.54% (p=0.001) in responders.

Fasting plasma glucose decreased by 1.79 mmol/L (p=0.001) in responders.

Body weight decreased by 2.1 kg (p=0.001) in responders.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Exenatide and Alanine Aminotransferase (ALT), BMI, Body weight, and 7 more.

Primary intervention

Exenatide

Primary outcomes

  • Alanine Aminotransferase (ALT)
  • BMI
  • Body weight

Evidence relationships

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

10
Evidence pairs
10
Relationships
4
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

4

Related topics

10

Evidence pairs

791

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 10 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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Primary evidence

Evidence relationship

GLP-1 Receptor Agonists and HbA1c

Related evidence

Evidence relationship

GLP-1 Receptor Agonists and Body Weight

Save evidence

Evidence relationship

GLP-1 Receptor Agonists and Body Mass Index

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Alanine Aminotransferase (ALT)

Exenatide → Alanine Aminotransferase (ALT)

Exenatide → Alanine Aminotransferase (ALT)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
25
Negative
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

BMI

Exenatide → BMI

Exenatide → BMI

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

Body weight

Exenatide → Body weight

Exenatide → Body weight

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

Change in Aspartate Aminotransferase Levels

Exenatide → Change in Aspartate Aminotransferase Levels

Exenatide → Change in Aspartate Aminotransferase Levels

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

Fasting Plasma Glucose (FPG)

Exenatide → Fasting Plasma Glucose (FPG)

Exenatide → Fasting Plasma Glucose (FPG)

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

Glucose iAUC (OGTT)

Exenatide → Glucose iAUC (OGTT)

Exenatide → Glucose iAUC (OGTT)

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

HbA1c

Exenatide → HbA1c

Exenatide → HbA1c

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

HDL cholesterol

Exenatide → HDL cholesterol

Exenatide → HDL cholesterol

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

Triglycerides

Exenatide → Triglycerides

Exenatide → Triglycerides

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

Uric Acid

Exenatide → Uric Acid

Exenatide → Uric Acid

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

Evidence Library

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evidence suggest

Evidence Suggest

  • HbA1c levels significantly decreased by 1.54% in responders.
  • Fasting plasma glucose levels decreased by 1.79 mmol/L.
  • Body weight decreased by 2.1 kg in responders.
who this applies

Who this applies to

  • Adults diagnosed with type 2 diabetes mellitus.
  • Patients who are candidates for exenatide treatment.
keep in mind

Keep in Mind

  • The study's findings are based on a specific population and may not apply universally.
  • Variability in response to treatment suggests the need for personalized approaches.
  • Further research is needed to confirm these findings in larger, diverse populations.
between the lines

Between the Lines

  • The study included only one intervention arm, limiting comparative analysis.
  • Results may not be generalizable to all T2DM populations.
  • Potential confounding factors were not fully addressed.

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 GLP-1 Receptor Agonists and Adipokine and Angiogenic Markers, GLP-1 Receptor Agonists and Change in Aspartate Aminotransferase Levels.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Included in these evidence collections

Curated evidence collections and hubs this study is part of.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does GLP-1 Receptor Agonists improve HbA1c?

Strong Evidence

GLP-1 Receptor Agonists appears to improve HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

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

Why this answer: This answer is based on 29 supporting studies with consistent results and a positive effect signal.

Limitations

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

Does GLP-1 Receptor Agonists affect body weight?

Strong Evidence

GLP-1 Receptor Agonists appears to improve Body Weight.

ConsistencyScore™: Results are consistent across studies.

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 30 supporting studies with consistent results and a positive effect signal.

Limitations

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

Does GLP-1 Receptor Agonists affect body mass index?

Strong Evidence

GLP-1 Receptor Agonists may improve Body Mass Index.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    BMI

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

Why this answer: This answer is based on 15 supporting studies with consistent results and a positive effect signal.

Limitations

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

Does GLP-1 Receptor Agonists improve fasting glucose?

Strong Evidence

GLP-1 Receptor Agonists may improve Fasting Glucose.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Fasting Plasma Glucose (FPG)

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

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

Limitations

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