Research Summary
Analyzed using Evidence Intelligence™

SGLT2 inhibitors improve glycemic control in hospitalized T2DM patients.

Last updated September 9, 2026

Key finding

The BBT+E group exhibited a significantly higher TIR from day 2, exceeding 70% by day 5.

This study evaluated the impact of adding SGLT2 inhibitors to basal bolus therapy in hospitalized patients with type 2 diabetes, finding improved glycemic control.

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 evaluated the impact of adding SGLT2 inhibitors to basal bolus therapy in hospitalized patients with type 2 diabetes, finding improved glycemic control.

Clinical relevance

Improving glycemic control in hospitalized patients is crucial as it can lead to better recovery outcomes and reduce complications. This study suggests that incorporating SGLT2 inhibitors like empagliflozin into standard insulin regimens may enhance patient care and management of diabetes during hospitalization.

Keep in mind

The study's sample size and specific hospital setting may limit generalizability. Potential confounding factors were not fully controlled. Long-term effects of the therapy combination were not assessed.

Published in

Journal Reference

Publication details and source links for this paper.

Nobutoshi F, Hiroki H, Tatsuya I, et al. The addition of SGLT2 inhibitors to basal bolus therapy improves glycemic control in hospitalized patients with type 2 diabetes. Endocrinology, Diabetes & Metabolism. 2025;8(5):e70096. doi:10.1002/edm2.70096

Main Effects

The BBT+E group exhibited a significantly higher time in range, exceeding 70% by day 5.

Blood glucose levels declined more rapidly in the BBT+E group, with a significant decrease of 20 mg/dL (p=0.021).

The BBT+E group had reduced insulin requirements, needing 5 fewer units on average.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Basal bolus therapy, Basal bolus therapy with empagliflozin and Change in ketone body levels after combination therapy, Daily glucose average, Time above range, and 3 more.

Primary intervention

Basal bolus therapy

Primary outcomes

  • Change in ketone body levels after combination therapy
  • Daily glucose average
  • Time above range

Evidence relationships

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

12
Evidence pairs
12
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

12

Evidence pairs

581

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 12 evidence relationships
  • Includes primary outcome data
  • Linked to 2 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Add related evidence to your Evidence Tracker

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Primary evidence

Evidence topic

CGM Time in Range

matched_outcome

Related evidence

Evidence topic

Glycemic Control

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Change in ketone body levels after combination therapy

Basal bolus therapy → Change in ketone body levels after combination therapy

Basal bolus therapy → Change in ketone body levels after combination therapy

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

Daily glucose average

Basal bolus therapy → Daily glucose average

Basal bolus therapy → Daily glucose average

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

Time above range

Basal bolus therapy → Time above range

Basal bolus therapy → Time above range

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

Time below range

Basal bolus therapy → Time below range

Basal bolus therapy → Time below range

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

Time in range

Basal bolus therapy → Time in range

Basal bolus therapy → Time in range

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

Total daily insulin dose

Basal bolus therapy → Total daily insulin dose

Basal bolus therapy → Total daily insulin dose

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 ketone body levels after combination therapy

Basal bolus therapy with empagliflozin → Change in ketone body levels after combination therapy

Basal bolus therapy with empagliflozin → Change in ketone body levels after combination therapy

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

Daily glucose average

Basal bolus therapy with empagliflozin → Daily glucose average

Basal bolus therapy with empagliflozin → Daily glucose average

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

Time above range

Basal bolus therapy with empagliflozin → Time above range

Basal bolus therapy with empagliflozin → Time above range

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

Time below range

Basal bolus therapy with empagliflozin → Time below range

Basal bolus therapy with empagliflozin → Time below range

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

Time in range

Basal bolus therapy with empagliflozin → Time in range

Basal bolus therapy with empagliflozin → Time in range

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

Total daily insulin dose

Basal bolus therapy with empagliflozin → Total daily insulin dose

Basal bolus therapy with empagliflozin → Total daily insulin dose

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

Build your evidence library

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evidence suggest

Evidence Suggest

  • Time in range increased significantly in the BBT+E group, with a 0.5% improvement (p=0.017).
  • The BBT group showed no significant change in time above range or daily glucose levels.
  • Insulin requirements decreased by an average of 5 units in the BBT+E group.
who this applies

Who this applies to

  • Hospitalized patients with type 2 diabetes requiring insulin therapy.
  • Patients struggling to maintain glycemic control during hospitalization.
keep in mind

Keep in Mind

  • Results may not apply to outpatient settings or non-hospitalized patients.
  • Further research is needed to confirm findings in larger, diverse populations.
  • The study did not evaluate long-term outcomes beyond hospitalization.
between the lines

Between the Lines

  • The study's sample size and specific hospital setting may limit generalizability.
  • Potential confounding factors were not fully controlled.
  • Long-term effects of the therapy combination were not assessed.

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 Basal bolus therapy and Daily glucose average, Basal bolus therapy and Insulin Resistance.

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 Basal bolus therapy with empagliflozin improve daily glucose average?

Emerging Evidence

Basal bolus therapy with empagliflozin appears to improve daily glucose average.

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

Ranked evidence signals

  1. 1

    Daily glucose average

    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 Basal bolus therapy with empagliflozin improve time above range?

Emerging Evidence

Basal bolus therapy with empagliflozin appears to improve time above range.

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

Ranked evidence signals

  1. 1

    Time above range

    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 Basal bolus therapy with empagliflozin improve time in range?

Emerging Evidence

Basal bolus therapy with empagliflozin appears to improve time in range.

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

Ranked evidence signals

  1. 1

    Time in range

    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 Basal bolus therapy improve change in ketone body levels after combination therapy?

Emerging Evidence

Current evidence does not show a clear benefit of Basal bolus therapy for change in ketone body levels after combination therapy.

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

Ranked evidence signals

  1. 1

    Change in ketone body levels after combination therapy

    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.
1 supporting study
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