Research Summary
Analyzed using Evidence Intelligence™

Dapagliflozin improves kidney function in early T2DM

Last updated July 18, 2026

Key finding

ACR declined markedly from 108.44 mg/g to 65.79 mg/g (P < 0.001).

Dapagliflozin demonstrated significant improvements in key health markers in participants with Type 2 Diabetes Mellitus.

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

Dapagliflozin demonstrated significant improvements in key health markers in participants with Type 2 Diabetes Mellitus.

Clinical relevance

These findings are clinically significant as they suggest that early intervention with dapagliflozin can lead to rapid improvements in multiple health parameters for patients with Type 2 Diabetes Mellitus, potentially reducing the risk of complications associated with the disease.

Keep in mind

Non-randomized study design limits causal inference. Sample size and demographic details not specified. Long-term effects of dapagliflozin not assessed.

Published in

Journal Reference

Publication details and source links for this paper.

Shahd E, Seya A, Seham N, Sara R, Mohammad Q, Beesan M. Dapagliflozin demonstrates a rapid and multi-organ protective effect when introduced early in T2DM. Diabetology & Metabolic Syndrome. 2026;18:59. doi:10.1186/s13098-026-02094-3

Main Effects

Albumin-to-creatinine ratio decreased by 42.65 mg/g (P < 0.001).

HbA1c dropped by 1.73% (P < 0.001).

Systolic blood pressure reduced by 9.12 mmHg (P < 0.001).

Body mass index decreased by 1.17 kg/m² (P < 0.001).

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, Estimated glomerular filtration rate, HbA1c, and 2 more.

Primary intervention

Dapagliflozin

Primary outcomes

  • BMI
  • Estimated glomerular filtration rate
  • HbA1c

Evidence relationships

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

5
Evidence pairs
5
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

5

Evidence pairs

596

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 5 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

SGLT2 Inhibitors and HbA1c

Related evidence

Evidence relationship

SGLT2 Inhibitors and Kidney Function

Save evidence

Evidence relationship

SGLT2 Inhibitors and Body Mass Index

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

Estimated glomerular filtration rate

Dapagliflozin → Estimated glomerular filtration rate

Dapagliflozin → Estimated glomerular filtration rate

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
75
Positive
ConsistencyScore™
35
mixed
Supporting studies: Based on 2 studies
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

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

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

  • ACR improved significantly, indicating reduced kidney stress.
  • HbA1c levels decreased, showing better blood sugar control.
  • Systolic blood pressure lowered, which may reduce cardiovascular risk.
who this applies

Who this applies to

  • Adults diagnosed with Type 2 Diabetes Mellitus.
  • Individuals seeking early intervention for diabetes management.
keep in mind

Keep in Mind

  • Results may not be generalizable to all populations.
  • Further research is needed to confirm long-term benefits.
  • The study did not include a control group for comparison.
between the lines

Between the Lines

  • Non-randomized study design limits causal inference.
  • Sample size and demographic details not specified.
  • Long-term effects of dapagliflozin not assessed.

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

    Estimated glomerular filtration rate

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 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 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™ 73.1 | 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 SGLT2 Inhibitors improve blood pressure?

Strong Evidence

SGLT2 Inhibitors may improve Blood Pressure.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Systolic blood pressure

    EvidenceScore™ Moderate | EvidenceScore™ 73.1 | 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
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