Research Summary
Analyzed using Evidence Intelligence™

Luseogliflozin improves glycemic control in older adults with T2D

Last updated July 5, 2026

Key finding

HbA1c decreased by 0.14% from baseline to week 52.

This study investigated the effects of Luseogliflozin combined with leucine-enriched amino acid supplementation and exercise in older adults with type 2 diabetes. It found a decrease in HbA1c and body weight over 52 weeks.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Long-Term (1–5 y)

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 effects of Luseogliflozin combined with leucine-enriched amino acid supplementation and exercise in older adults with type 2 diabetes. It found a decrease in HbA1c and body weight over 52 weeks.

Clinical relevance

These findings suggest that Luseogliflozin, when combined with exercise and dietary supplementation, can help manage blood sugar levels and weight in older adults with type 2 diabetes. This is particularly important as effective management of diabetes can reduce the risk of complications and improve overall health in this population.

Keep in mind

The study did not include a large sample size. Some outcomes did not reach statistical significance. Findings may not be generalizable to all older adults with diabetes.

Published in

Journal Reference

Publication details and source links for this paper.

Yoshihiro T, Makoto H, Takehiro K, et al. Luseogliflozin Combined with Leucine-Enriched Amino Acid Supplementation and Exercise in Older Adults with Type 2 Diabetes. Diabetes, Obesity & Metabolism. 2026;28(4):3439-3444. doi:10.1111/dom.70494

Main Effects

HbA1c decreased by 0.14% (p=0.0043)

Body weight decreased by 1.64 kg (p=0.0248)

Body fat mass decreased by 0.89 kg (p=0.0897)

HbA1c increased by 0.23% in the control group

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Luseogliflozin and Body fat mass, Body weight, Five-times Sit-to-Stand Test, and 3 more.

Primary intervention

Luseogliflozin

Primary outcomes

  • Body fat mass
  • Body weight
  • Five-times Sit-to-Stand Test

Evidence relationships

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

6
Evidence pairs
6
Relationships
3
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: 72

3

Related topics

6

Evidence pairs

685

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 6 evidence relationships
  • Includes primary outcome data
  • Linked to 3 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence relationship

DPP-4 Inhibitors and HbA1c

Related evidence

Evidence relationship

DPP-4 Inhibitors and Body Weight

Save evidence

Evidence relationship

DPP-4 Inhibitors and Body Composition

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Body fat mass

Luseogliflozin → Body fat mass

Luseogliflozin → Body fat mass

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

Body weight

Luseogliflozin → Body weight

Luseogliflozin → Body weight

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

Five-times Sit-to-Stand Test

Luseogliflozin → Five-times Sit-to-Stand Test

Luseogliflozin → Five-times Sit-to-Stand Test

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

Handgrip Strength

Luseogliflozin → Handgrip Strength

Luseogliflozin → Handgrip Strength

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

HbA1c

Luseogliflozin → HbA1c

Luseogliflozin → HbA1c

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

Lean body mass

Luseogliflozin → Lean body mass

Luseogliflozin → Lean body mass

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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evidence suggest

Evidence Suggest

  • HbA1c decreased by 0.14% in the treatment group.
  • Body weight reduced by 1.64 kg after 52 weeks.
  • Control group experienced an increase in HbA1c by 0.23%.
who this applies

Who this applies to

  • Older adults aged 65 and above
  • Individuals diagnosed with type 2 diabetes
keep in mind

Keep in Mind

  • Results may not apply to younger populations.
  • The study's sample size was limited, affecting generalizability.
  • Not all measured outcomes showed significant changes.
between the lines

Between the Lines

  • The study did not include a large sample size.
  • Some outcomes did not reach statistical significance.
  • Findings may not be generalizable to all older adults with diabetes.

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 DPP-4 Inhibitors and Body Composition, DPP-4 Inhibitors and Body Weight.

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 DPP-4 Inhibitors improve HbA1c?

Strong Evidence

DPP-4 Inhibitors appears to improve HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    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.

Limitations

  • Population details are unavailable.
11 supporting studiesUpdated: Aug 2026

Does DPP-4 Inhibitors affect body weight?

Strong Evidence

DPP-4 Inhibitors may improve Body Weight.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Body weight

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

Why this answer: This answer is based on 8 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
8 supporting studiesUpdated: Aug 2026

Does DPP-4 Inhibitors improve body composition?

Moderate Evidence

DPP-4 Inhibitors may improve Body Composition.

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Body fat mass

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

  2. 2

    Lean body mass

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Only a small number of supporting studies are available.
  • Population details are unavailable.
2 supporting studiesUpdated: Aug 2026

Does DPP-4 Inhibitors improve muscular strength?

Emerging Evidence

Current evidence does not show a clear benefit of DPP-4 Inhibitors for Muscular Strength.

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

Ranked evidence signals

  1. 1

    Handgrip Strength

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

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

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026
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