Research Summary
Analyzed using Evidence Intelligence™

Dapagliflozin may improve RAAS markers in diabetes patients

Last updated June 17, 2026

Key finding

REN levels increased significantly from baseline at 1-month visit (4.15 ± 7.35 vs. 2.75 ± 8.03 ng/L; DKD vs. non-DKD; between-group difference, p < 0.05).

This study investigated the effects of dapagliflozin on the renin-angiotensin-aldosterone system in patients with type 2 diabetes, finding significant changes in several metabolic parameters.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

Cohort

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 the renin-angiotensin-aldosterone system in patients with type 2 diabetes, finding significant changes in several metabolic parameters.

Clinical relevance

These findings suggest that dapagliflozin can effectively manage key metabolic issues in type 2 diabetes, potentially leading to better overall health outcomes. Understanding its impact on the renin-angiotensin-aldosterone system is crucial for assessing cardiovascular risks in these patients.

Keep in mind

Unclear effectiveness for some outcomes Limited generalizability due to specific population characteristics Short follow-up period may not capture long-term effects

Published in

Journal Reference

Publication details and source links for this paper.

Ningning W, Junfeng K, Ziming L, et al. The effects of dapagliflozin on the renin-angiotensin-aldosterone system in patients with type 2 diabetes and hypertension. PLOS One. 2025;20(11):e0336158. doi:10.1371/journal.pone.0336158

Main Effects

Renin levels increased significantly from baseline at 1-month visit (4.15 ng/L, p < 0.05)

BMI decreased by 0.87 kg/m²

HbA1c decreased by 1.62%

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 BMI, Diastolic blood pressure, Fasting blood sugar (FBS), and 8 more.

Primary intervention

Dapagliflozin

Primary outcomes

  • BMI
  • Diastolic blood pressure
  • Fasting blood sugar (FBS)

Evidence relationships

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

11
Evidence pairs
11
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: 72

5

Related topics

11

Evidence pairs

841

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 11 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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Primary evidence

Evidence relationship

SGLT2 Inhibitors and HbA1c

Related evidence

Evidence relationship

SGLT2 Inhibitors and Kidney Function

Save evidence

Evidence relationship

SGLT2 Inhibitors and Fasting Glucose

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

BMI

Dapagliflozin → BMI

Dapagliflozin → BMI

Evidence Intelligence™
EvidenceScore™
73
Moderate
ImpactScore™
88
Very Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 3 studies
Add to Evidence Tracker

Diastolic blood pressure

Dapagliflozin → Diastolic blood pressure

Dapagliflozin → Diastolic blood pressure

Evidence Intelligence™
EvidenceScore™
47
Emerging
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Fasting blood sugar (FBS)

Dapagliflozin → Fasting blood sugar (FBS)

Dapagliflozin → Fasting blood sugar (FBS)

Evidence Intelligence™
EvidenceScore™
47
Emerging
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Dapagliflozin → HbA1c

Dapagliflozin → HbA1c

Evidence Intelligence™
EvidenceScore™
79
Strong
ImpactScore™
85
Very Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 6 studies
Add to Evidence Tracker

Insulin resistance

Dapagliflozin → Insulin resistance

Dapagliflozin → Insulin resistance

Evidence Intelligence™
EvidenceScore™
47
Emerging
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Renin

Dapagliflozin → Renin

Dapagliflozin → Renin

Evidence Intelligence™
EvidenceScore™
47
Emerging
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Serum creatinine

Dapagliflozin → Serum creatinine

Dapagliflozin → Serum creatinine

Evidence Intelligence™
EvidenceScore™
47
Emerging
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Systolic blood pressure

Dapagliflozin → Systolic blood pressure

Dapagliflozin → Systolic blood pressure

Evidence Intelligence™
EvidenceScore™
73
Moderate
ImpactScore™
88
Very Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 3 studies
Add to Evidence Tracker

Total cholesterol

Dapagliflozin → Total cholesterol

Dapagliflozin → Total cholesterol

Evidence Intelligence™
EvidenceScore™
47
Emerging
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Triglycerides

Dapagliflozin → Triglycerides

Dapagliflozin → Triglycerides

Evidence Intelligence™
EvidenceScore™
63
Moderate
ImpactScore™
80
Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Urinary albumin-to-creatinine ratio

Dapagliflozin → Urinary albumin-to-creatinine ratio

Dapagliflozin → Urinary albumin-to-creatinine ratio

Evidence Intelligence™
EvidenceScore™
73
Moderate
ImpactScore™
88
Very Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 3 studies
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Renin increased by 4.15 ng/L, indicating hormonal changes
  • BMI decreased by 0.87 kg/m², showing weight loss
  • HbA1c decreased by 1.62%, reflecting better blood sugar control
who this applies

Who this applies to

  • Adults diagnosed with type 2 diabetes
  • Patients undergoing treatment with dapagliflozin
keep in mind

Keep in Mind

  • Results may not apply to non-diabetic populations
  • Further studies needed to assess long-term effects
  • Potential implications for cardiovascular risk management
between the lines

Between the Lines

  • Unclear effectiveness for some outcomes
  • Limited generalizability due to specific population characteristics
  • Short follow-up period may not capture long-term effects

Evidence Library

Build your evidence library

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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 HbA1c, SGLT2 Inhibitors and Body Mass Index.

Related evidence relationships

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 HbA1c?

Strong Evidence

SGLT2 Inhibitors may improve HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Strong | EvidenceScore™ 78.9 | strong positive | ConsistencyScore™ Consistent | 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 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™ Moderate | EvidenceScore™ 73.1 | strong positive | ConsistencyScore™ Consistent | 1 study

  2. 2

    Serum creatinine

    EvidenceScore™ Emerging | EvidenceScore™ 46.9 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 8 supporting studies with consistent results and a positive effect signal.

Limitations

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

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™ Emerging | EvidenceScore™ 46.9 | neutral | ConsistencyScore™ Unclear | 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

    Triglycerides

    EvidenceScore™ Moderate | EvidenceScore™ 63.1 | moderate positive | ConsistencyScore™ Consistent | 1 study

  2. 2

    Total cholesterol

    EvidenceScore™ Emerging | EvidenceScore™ 46.9 | neutral | ConsistencyScore™ Unclear | 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
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