- EvidenceScore™
- Moderate
- Score 69 · Based on 2 studies
- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- 100
- consistent
Empagliflozin improves glycemic control in type 1 diabetes patients
Last updated July 18, 2026
Key finding
Hemoglobin A1C decreased by -0.18% (95% CI: -0.37, 0.005, P =0.009)
This study evaluated the effects of empagliflozin as an adjunct to insulin in patients with type 1 diabetes, showing significant reductions in blood sugar levels and insulin doses.
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
This study evaluated the effects of empagliflozin as an adjunct to insulin in patients with type 1 diabetes, showing significant reductions in blood sugar levels and insulin doses.
Clinical relevance
These findings are significant as they suggest that empagliflozin can enhance diabetes management in patients with type 1 diabetes, potentially leading to better glycemic control and reduced insulin requirements. This could improve patients' quality of life and reduce the risk of diabetes-related complications.
Keep in mind
Limited generalizability due to specific population characteristics Short duration of the study may not capture long-term effects Potential for unmeasured confounders affecting outcomes
Published in
Journal Reference
Publication details and source links for this paper.
Mostafa N, Farzad N, Alireza O, et al. Empagliflozin as an Adjunct to Insulin in Patients with Type 1 Diabetes: A Randomized Clinical Trial. Health Promotion Perspectives. 2024;14(4):380-387. doi:10.34172/hpp.42486
Main Effects
Hemoglobin A1C decreased by -0.18% (P = 0.009)
Fasting blood sugar decreased by -2.60 mg/dL (P = 0.035)
Total daily insulin dose decreased by -7.6 units (P = 0.003)
Evidence network
How this study fits
Understand where this research contributes within the broader evidence network.
Evidence Context
This study contributes evidence to Empagliflozin and BMI, Fasting blood sugar (FBS), Glucose iAUC (OGTT), and 2 more.
This study contributes evidence to
Primary intervention
Empagliflozin
Primary outcomes
- BMI
- Fasting blood sugar (FBS)
- Glucose iAUC (OGTT)
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
5
Evidence pairs
902
Related studies
Why it is useful
- Contributes to 5 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 Fasting Glucose
Related evidence
Evidence relationship
SGLT2 Inhibitors and Body Mass Index
Save evidence
Evidence relationship
SGLT2 Inhibitors and Postprandial and OGTT Glucose
Save evidence
Core evidence
Study findings
The primary outcomes reported in this study.
Fasting blood sugar (FBS)
Empagliflozin → Fasting blood sugar (FBS)
Empagliflozin → Fasting blood sugar (FBS)
- EvidenceScore™
- Moderate
- Score 69 · Based on 2 studies
- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- 100
- consistent
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- unclear
- Not enough independent studies
Reduction in Hemoglobin A1C levels
Empagliflozin → Reduction in Hemoglobin A1C levels
Empagliflozin → Reduction in Hemoglobin A1C levels
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- unclear
- Not enough independent studies
Total daily insulin dose
Empagliflozin → Total daily insulin dose
Empagliflozin → Total daily insulin dose
- EvidenceScore™
- Emerging
- Score 59 · Based on 1 study
- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- unclear
- Not enough independent studies
Evidence Library
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Evidence Suggest
- Empagliflozin reduced Hemoglobin A1C by -0.18%, indicating improved glycemic control.
- Fasting blood sugar levels decreased by -2.60 mg/dL, supporting the efficacy of empagliflozin.
- Total daily insulin doses were reduced by -7.6 units, suggesting less insulin dependency.
Who this applies to
- Adults with type 1 diabetes
- Patients currently using insulin therapy
Keep in Mind
- Results may not apply to younger populations or those not on insulin.
- The study's short duration limits understanding of long-term effects.
- Further research is needed to confirm findings across diverse populations.
Between the Lines
- Limited generalizability due to specific population characteristics
- Short duration of the study may not capture long-term effects
- Potential for unmeasured confounders affecting outcomes
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 Body Mass Index, SGLT2 Inhibitors and Fasting Glucose.
Related evidence relationships
Explore in Evidence ExplorerThis study contributes to the evidence on the following intervention-outcome relationships.
SGLT2 Inhibitors → Body Mass Index
Medications
- EvidenceScore™
- Moderate
- Score 69 · Based on 2 studies
- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- 100
- consistent
SGLT2 Inhibitors → Fasting Glucose
Medications
- EvidenceScore™
- Moderate
- Score 69 · Based on 2 studies
- ImpactScore™
- 100
- Very Positive
- ConsistencyScore™
- 100
- consistent
Included in these evidence collections
Curated evidence collections and hubs this study is part of.
Body Mass Index Evidence Hub
All studies measuring Body Mass Index
Measures Body Mass Index as a key outcome.
Fasting Glucose Evidence Hub
All studies measuring Fasting Glucose
Measures Fasting Glucose as a key outcome.
SGLT2 Inhibitors Evidence Hub
All studies on SGLT2 Inhibitors
Contributes to SGLT2 Inhibitors evidence base.
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 Empagliflozin and BMI
2 results
All studies on Empagliflozin and Fasting blood sugar (FBS)
2 results
All studies on Empagliflozin
2 results
All studies measuring BMI
2 results
All studies measuring Fasting blood sugar (FBS)
2 results
Questions answered by this study
Generated from the study's connected evidence using Evidence Intelligence™.
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™ Moderate | EvidenceScore™ 69.0 | strong positive | ConsistencyScore™ Consistent | 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 affect body mass index?
SGLT2 Inhibitors appears to improve Body Mass Index.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
- 1
BMI
EvidenceScore™ Moderate | EvidenceScore™ 69.0 | 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.
Does SGLT2 Inhibitors improve postprandial and ogtt glucose?
SGLT2 Inhibitors may improve Postprandial and OGTT Glucose.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
- 1
Glucose iAUC (OGTT)
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on 3 supporting studies with consistent results and a positive effect signal.
Limitations
- Population details are unavailable.
Does SGLT2 Inhibitors improve insulin resistance?
SGLT2 Inhibitors may improve Insulin Resistance.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
- 1
Total daily insulin dose
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a small number of supporting studies and should be interpreted cautiously.
Limitations
- Only a small number of supporting studies are available.
- Population details are unavailable.
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