- EvidenceScore™
- 73
- Moderate
- ImpactScore™
- 88
- Very Positive
- ConsistencyScore™
- 100
- consistent
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.
This study contributes evidence to
Primary intervention
Dapagliflozin
Primary outcomes
- BMI
- Diastolic blood pressure
- Fasting blood sugar (FBS)
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.
5
Related topics
11
Evidence pairs
841
Related studies
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.
Diastolic blood pressure
Dapagliflozin → Diastolic blood pressure
Dapagliflozin → Diastolic blood pressure
- EvidenceScore™
- 47
- Emerging
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- unclear
- Not enough independent studies
Fasting blood sugar (FBS)
Dapagliflozin → Fasting blood sugar (FBS)
Dapagliflozin → Fasting blood sugar (FBS)
- EvidenceScore™
- 47
- Emerging
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- unclear
- Not enough independent studies
- EvidenceScore™
- 79
- Strong
- ImpactScore™
- 85
- Very Positive
- ConsistencyScore™
- 100
- consistent
- EvidenceScore™
- 47
- Emerging
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- unclear
- Not enough independent studies
- EvidenceScore™
- 47
- Emerging
- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- unclear
- Not enough independent studies
- EvidenceScore™
- 47
- Emerging
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- unclear
- Not enough independent studies
Systolic blood pressure
Dapagliflozin → Systolic blood pressure
Dapagliflozin → Systolic blood pressure
- EvidenceScore™
- 73
- Moderate
- ImpactScore™
- 88
- Very Positive
- ConsistencyScore™
- 100
- consistent
- EvidenceScore™
- 47
- Emerging
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- unclear
- Not enough independent studies
- EvidenceScore™
- 63
- Moderate
- ImpactScore™
- 80
- Positive
- ConsistencyScore™
- 100
- consistent
Urinary albumin-to-creatinine ratio
Dapagliflozin → Urinary albumin-to-creatinine ratio
Dapagliflozin → Urinary albumin-to-creatinine ratio
- EvidenceScore™
- 73
- Moderate
- ImpactScore™
- 88
- Very Positive
- ConsistencyScore™
- 100
- consistent
Evidence Library
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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 to
- Adults diagnosed with type 2 diabetes
- Patients undergoing treatment with dapagliflozin
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
- Unclear effectiveness for some outcomes
- Limited generalizability due to specific population characteristics
- Short follow-up period may not capture long-term effects
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 ExplorerThis study contributes to the evidence on the following intervention-outcome relationships.
SGLT2 Inhibitors → HbA1c
Medications
- EvidenceScore™
- 79
- Strong
- ImpactScore™
- 85
- Very Positive
- ConsistencyScore™
- 100
- consistent
SGLT2 Inhibitors → Body Mass Index
Medications
- EvidenceScore™
- 73
- Moderate
- ImpactScore™
- 88
- Very Positive
- ConsistencyScore™
- 100
- consistent
SGLT2 Inhibitors → Blood Pressure
Medications
- EvidenceScore™
- 73
- Moderate
- ImpactScore™
- 88
- Very Positive
- ConsistencyScore™
- 100
- consistent
Included in these evidence collections
Curated evidence collections and hubs this study is part of.
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.
Blood Pressure Evidence Hub
All studies measuring Blood Pressure
Measures Blood Pressure as a key outcome.
Body Mass Index Evidence Hub
All studies measuring Body Mass Index
Measures Body Mass Index as a key outcome.
Recent Diabetes Research
Latest published studies
Published within the last 2 years.
Explore more in Evidence Explorer
Jump to pre-filtered views in Evidence Explorer.
All studies on Dapagliflozin and HbA1c
6 results
All studies on Dapagliflozin and BMI
3 results
All studies on Dapagliflozin
6 results
All studies measuring HbA1c
6 results
All studies measuring BMI
3 results
Questions answered by this study
Generated from the study's connected evidence using Evidence Intelligence™.
Does SGLT2 Inhibitors improve HbA1c?
SGLT2 Inhibitors may improve HbA1c.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
- 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.
Does SGLT2 Inhibitors improve kidney function?
SGLT2 Inhibitors may improve Kidney Function.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
- 1
Urinary albumin-to-creatinine ratio
EvidenceScore™ Moderate | EvidenceScore™ 73.1 | strong positive | ConsistencyScore™ Consistent | 1 study
- 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.
Does SGLT2 Inhibitors improve fasting glucose?
SGLT2 Inhibitors may improve Fasting Glucose.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
- 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.
Does SGLT2 Inhibitors improve adipokine and angiogenic markers?
SGLT2 Inhibitors may improve Adipokine and Angiogenic Markers.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
- 1
Triglycerides
EvidenceScore™ Moderate | EvidenceScore™ 63.1 | moderate positive | ConsistencyScore™ Consistent | 1 study
- 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.
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