Research Summary
Analyzed using Evidence Intelligence™

Empagliflozin improves symptoms in diabetic neuropathy

Last updated September 9, 2026

Key finding

Haemoglobin A1c decreased significantly from baseline.

The study investigated the effects of empagliflozin on glycaemic control and neuropathic symptoms in patients with type 2 diabetes and peripheral neuropathy, showing significant improvements in several key outcomes.

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

The study investigated the effects of empagliflozin on glycaemic control and neuropathic symptoms in patients with type 2 diabetes and peripheral neuropathy, showing significant improvements in several key outcomes.

Clinical relevance

These findings suggest that empagliflozin may be an effective treatment option for managing both blood sugar levels and neuropathic symptoms in individuals with type 2 diabetes. Improved glycaemic control can lead to better overall health outcomes and quality of life for patients suffering from diabetes-related complications.

Keep in mind

Unclear effectiveness for some outcomes Potential limitations in generalizability Sample size not specified

Published in

Journal Reference

Publication details and source links for this paper.

Mohammadreza V, Fatemeh MM, Amidodin K, Akram G, Marzieh ZB, Raihane A. Empagliflozin Improves Glycaemic Control and Neuropathic Symptoms in Patients with Type 2 Diabetes and Peripheral Neuropathy. Endocrinology, Diabetes & Metabolism. 2025;8(6):e70128. doi:10.1002/edm2.70128

Main Effects

Haemoglobin A1c decreased by 0.21% (p=0.001)

Fasting plasma glucose decreased by 6.46 mg/dL (p=0.001)

Nerve conduction velocity improved significantly (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 Empagliflozin and Amplitude, Change in Michigan Neuropathy Screening Instrument score, Estimated glomerular filtration rate, and 5 more.

Primary intervention

Empagliflozin

Primary outcomes

  • Amplitude
  • Change in Michigan Neuropathy Screening Instrument score
  • Estimated glomerular filtration rate

Evidence relationships

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

8
Evidence pairs
8
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

8

Evidence pairs

1510

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 8 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.

Amplitude

Empagliflozin → Amplitude

Empagliflozin → Amplitude

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

Change in Michigan Neuropathy Screening Instrument score

Empagliflozin → Change in Michigan Neuropathy Screening Instrument score

Empagliflozin → Change in Michigan Neuropathy Screening Instrument score

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

Estimated glomerular filtration rate

Empagliflozin → Estimated glomerular filtration rate

Empagliflozin → Estimated glomerular filtration rate

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

Fasting Plasma Glucose (FPG)

Empagliflozin → Fasting Plasma Glucose (FPG)

Empagliflozin → Fasting Plasma Glucose (FPG)

Evidence Intelligence™
EvidenceScore™
83
Strong
ImpactScore™
80
Positive
ConsistencyScore™
80
consistent
Supporting studies: Based on 5 studies
Add to Evidence Tracker

Latency

Empagliflozin → Latency

Empagliflozin → Latency

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

median nerve conduction velocity (MNCV)

Empagliflozin → median nerve conduction velocity (MNCV)

Empagliflozin → median nerve conduction velocity (MNCV)

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

Reduction in Hemoglobin A1C levels

Empagliflozin → Reduction in Hemoglobin A1C levels

Empagliflozin → Reduction in Hemoglobin A1C levels

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
100
Very Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Serum creatinine

Empagliflozin → Serum creatinine

Empagliflozin → Serum creatinine

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

Evidence Library

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evidence suggest

Evidence Suggest

  • Haemoglobin A1c decreased significantly by 0.21%
  • Fasting plasma glucose decreased significantly by 6.46 mg/dL
  • Nerve conduction velocity improved significantly
who this applies

Who this applies to

  • Adults with type 2 diabetes
  • Patients experiencing peripheral neuropathy
keep in mind

Keep in Mind

  • Results may not apply to all diabetes types
  • Further studies needed to confirm findings
  • Effectiveness unclear for some measured outcomes
between the lines

Between the Lines

  • Unclear effectiveness for some outcomes
  • Potential limitations in generalizability
  • Sample size not specified

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 Fasting Glucose, SGLT2 Inhibitors and HbA1c.

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™.

Do SGLT2 Inhibitors lower HbA1c?

Strong Evidence

SGLT2 Inhibitors may lower HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Reduction in Hemoglobin A1C levels

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | strong positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on 25 supporting studies with consistent results and a positive effect signal.

25 supporting studies

Do SGLT2 Inhibitors improve kidney function?

Strong Evidence

SGLT2 Inhibitors may improve kidney function.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Estimated glomerular filtration rate

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

  2. 2

    Serum creatinine

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

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

11 supporting studies

Do 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 Plasma Glucose (FPG)

    EvidenceScore™ Strong | EvidenceScore™ 83.1 | moderate positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on 13 supporting studies with consistent results and a positive effect signal.

13 supporting studies

Does Empagliflozin improve latency?

Emerging Evidence

Empagliflozin appears to improve latency.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Latency

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

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
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