Research Summary
Analyzed using Evidence Intelligence™

Imeglimin may prolong erythrocyte lifespan, affecting HbA1c levels.

Last updated August 15, 2026

Key finding

The change in hemoglobin concentration at 6 months was not statistically significant (mean ± SD: −0.2 ± 0.9 g/dL; p = 0.23).

Imeglimin 2,000 mg/day for six months in adults with type 2 diabetes.

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

Imeglimin 2,000 mg/day for six months in adults with type 2 diabetes.

Clinical relevance

This study evaluated Imeglimin 2,000 mg/day for six months in adults with type 2 diabetes.

Keep in mind

Limitations were not clearly described in the extracted text.

Published in

Journal Reference

Publication details and source links for this paper.

Takeshi O, Shinichiro S, Miyoko S, et al. Exploratory Clinical Trial Evaluating the Effects of Imeglimin on Erythrocyte Lifespan and Glycemic Markers in Patients with Type 2 Diabetes. Frontiers in Endocrinology. 2025;16:1699591. doi:10.3389/fendo.2025.1699591

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Imeglimin and 1,5-Anhydroglucitol, Change in erythrocyte lifespan during treatment, Change in glycoalbumin from baseline, and 2 more.

Primary intervention

Imeglimin

Primary outcomes

  • 1,5-Anhydroglucitol
  • Change in erythrocyte lifespan during treatment
  • Change in glycoalbumin from baseline

Evidence relationships

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

5
Evidence pairs
5
Relationships
2
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: 68

2

Related topics

5

Evidence pairs

880

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 5 evidence relationships
  • Includes primary outcome data
  • Linked to 2 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence topic

Fasting Blood Glucose

matched_outcome

Related evidence

Evidence topic

HbA1c Reduction

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Core evidence

Study findings

The primary outcomes reported in this study.

1,5-Anhydroglucitol

Imeglimin → 1,5-Anhydroglucitol

Imeglimin → 1,5-Anhydroglucitol

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

Change in erythrocyte lifespan during treatment

Imeglimin → Change in erythrocyte lifespan during treatment

Imeglimin → Change in erythrocyte lifespan during treatment

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

Change in glycoalbumin from baseline

Imeglimin → Change in glycoalbumin from baseline

Imeglimin → Change in glycoalbumin from baseline

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

HbA1c

Imeglimin → HbA1c

Imeglimin → HbA1c

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 3 studies
ImpactScore™
100
Very Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 3 studies
Add to Evidence Tracker

Hemoglobin

Imeglimin → Hemoglobin

Imeglimin → Hemoglobin

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

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 Imeglimin and HbA1c, Imeglimin and Change in glycoalbumin from baseline.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 3 studies
ImpactScore™
100
Very Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 3 studies
View evidence

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Imeglimin lower HbA1c?

Strong Evidence

Imeglimin appears to lower HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | strong positive | ConsistencyScore™ Consistent | 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 Imeglimin improve change in glycoalbumin from baseline?

Moderate Evidence

Imeglimin appears to improve change in glycoalbumin from baseline.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Change in glycoalbumin from baseline

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | strong positive | ConsistencyScore™ Consistent | 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 Imeglimin improve 1,5-anhydroglucitol?

Emerging Evidence

Imeglimin appears to improve 1,5-anhydroglucitol.

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

Ranked evidence signals

  1. 1

    1,5-Anhydroglucitol

    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 Imeglimin improve change in erythrocyte lifespan during treatment?

Emerging Evidence

Imeglimin appears to improve change in erythrocyte lifespan during treatment.

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

Ranked evidence signals

  1. 1

    Change in erythrocyte lifespan during treatment

    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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