Research Summary
Analyzed using Evidence Intelligence™

Exenatide does not affect renal function in type 2 diabetes

Last updated September 2, 2026

Key finding

Exenatide increased R A (p < 0.05).

This study investigated the acute renal effects of exenatide in patients with type 2 diabetes, finding no significant impact on glomerular filtration rate.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Short-Term (≤3 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 investigated the acute renal effects of exenatide in patients with type 2 diabetes, finding no significant impact on glomerular filtration rate.

Clinical relevance

Understanding the renal effects of diabetes medications like exenatide is crucial for managing patients with type 2 diabetes, especially those at risk for kidney issues. The findings suggest that exenatide can be used without negatively impacting kidney filtration rates, although it does influence other renal functions.

Keep in mind

Limited sample size may affect generalizability. Short duration of study may not capture long-term effects. Lack of diverse population limits applicability to broader groups.

Published in

Journal Reference

Publication details and source links for this paper.

Lennart T, Mark MS, Marcel HAM, et al. Acute renal effects of exenatide in type 2 diabetes patients. Diabetologia. 2016;59:1412-1421. doi:10.1007/s00125-016-3938-z

Main Effects

Exenatide did not affect glomerular filtration rate (mean difference +2 ± 3 ml min −1 1.73 m −2, p = 0.489).

Exenatide increased renal artery resistance (p < 0.05).

Exenatide increased fractional excretion of sodium (p < 0.05).

Exenatide increased urine osmolality (p < 0.05).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Exenatide and Blood glucose, Change in Renal Plasma Flow (RPF), Diastolic blood pressure, and 10 more.

Primary intervention

Exenatide

Primary outcomes

  • Blood glucose
  • Change in Renal Plasma Flow (RPF)
  • Diastolic blood pressure

Evidence relationships

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

13
Evidence pairs
13
Relationships
4
Evidence topics
contributes_evidence

Editorial context

Why this study matters

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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: 68

4

Related topics

13

Evidence pairs

1126

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 13 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

GLP-1 Receptor Agonists and Fasting Glucose

Related evidence

Evidence relationship

GLP-1 Receptor Agonists and Blood Pressure

Save evidence

Evidence topic

Blood Pressure

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Blood glucose

Exenatide → Blood glucose

Exenatide → Blood glucose

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

Change in Renal Plasma Flow (RPF)

Exenatide → Change in Renal Plasma Flow (RPF)

Exenatide → Change in Renal Plasma Flow (RPF)

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

Diastolic blood pressure

Exenatide → Diastolic blood pressure

Exenatide → Diastolic blood pressure

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

Effective renal vascular resistance (ERVR)

Exenatide → Effective renal vascular resistance (ERVR)

Exenatide → Effective renal vascular resistance (ERVR)

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

Filtration fraction (FF)

Exenatide → Filtration fraction (FF)

Exenatide → Filtration fraction (FF)

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

Fractional excretion of potassium (FE K)

Exenatide → Fractional excretion of potassium (FE K)

Exenatide → Fractional excretion of potassium (FE K)

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

Fractional Excretion of Sodium (FE Na)

Exenatide → Fractional Excretion of Sodium (FE Na)

Exenatide → Fractional Excretion of Sodium (FE Na)

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

Free water clearance

Exenatide → Free water clearance

Exenatide → Free water clearance

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

Glomerular filtration rate (GFR)

Exenatide → Glomerular filtration rate (GFR)

Exenatide → Glomerular filtration rate (GFR)

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

Mean arterial pressure reduction

Exenatide → Mean arterial pressure reduction

Exenatide → Mean arterial pressure reduction

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

Renal artery resistance

Exenatide → Renal artery resistance

Exenatide → Renal artery resistance

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

Urinary pH

Exenatide → Urinary pH

Exenatide → Urinary pH

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

Urine osmolality

Exenatide → Urine osmolality

Exenatide → Urine osmolality

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

  • Exenatide did not change glomerular filtration rate (p = 0.489).
  • Increased renal artery resistance by 649 dyn·s·cm−5 (p < 0.05).
  • Increased urine osmolality by 130 mOsm/kg (p < 0.05).
who this applies

Who this applies to

  • Adults with type 2 diabetes.
  • Patients at risk for renal impairment.
keep in mind

Keep in Mind

  • Results may not apply to populations outside the study's demographics.
  • Further research needed to assess long-term renal effects.
  • Changes in renal parameters do not necessarily indicate harm.
between the lines

Between the Lines

  • Limited sample size may affect generalizability.
  • Short duration of study may not capture long-term effects.
  • Lack of diverse population limits applicability to broader groups.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on GLP-1 Receptor Agonists and Fasting Glucose, GLP-1 Receptor Agonists and Blood Pressure.

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 GLP-1 Receptor Agonists improve fasting glucose?

Strong Evidence

GLP-1 Receptor Agonists may improve fasting glucose.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Blood glucose

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

Why this answer: This answer is based on 18 supporting studies with generally consistent results and a positive effect signal.

18 supporting studies

Do GLP-1 Receptor Agonists improve blood pressure?

Strong Evidence

GLP-1 Receptor Agonists may improve blood pressure.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Diastolic blood pressure

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | moderate negative | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 14 supporting studies with consistent results and a positive effect signal.

14 supporting studies

Does Exenatide improve fractional excretion of sodium (fe na)?

Emerging Evidence

Exenatide appears to improve fractional excretion of sodium (fe na).

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

Ranked evidence signals

  1. 1

    Fractional Excretion of Sodium (FE Na)

    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

Does Exenatide improve renal artery resistance?

Emerging Evidence

Exenatide appears to improve renal artery resistance.

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

Ranked evidence signals

  1. 1

    Renal artery resistance

    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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