Medications

Evidence Snapshot

96
Evidence relationships
104
Studies reviewed
37
Outcomes evaluated
Strongest evidence area
Fasting Plasma Glucose

Top Interventions

Rank #1

Body weight

Effectiveness
Moderate Negative
Strength
Weak
Consistency
Unclear
Studies
1
Rank #2

HbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Rank #3

Systolic blood pressure

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Rank #4

Body weight

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Rank #5

HbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Rank #6

Renal and urinary disorders incidence

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Rank #7

Diabetic retinopathy incidence

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Mixed
Studies
1
Rank #8

All Cause mortality

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Rank #9

Blood glucose

Effectiveness
Moderate Positive
Strength
Weak
Consistency
Unclear
Studies
1
Rank #10

Daily insulin dose

Effectiveness
Moderate Positive
Strength
Weak
Consistency
Unclear
Studies
1

Practical Questions

What outcomes does Medications appear to affect most often?

outcome

Based on 36 evidence relationships across 42 studies

Outcomes:
HbA1cHypoglycemia eventsFasting Plasma Glucose
Interventions:
Basal insulinDapagliflozinEmpagliflozinGlibenclamideGliclazide SR+13 more

Where are results mixed or inconsistent for Medications?

evidence

Based on 2 evidence relationships across 2 studies

Outcomes:
Diabetic retinopathy incidenceHypoglycemia events
Interventions:
DPP 4 inhibitorsGliclazide SR

Which outcomes need more research for Medications?

evidence

Based on 3 evidence relationships across 6 studies

Outcomes:
Blood glucoseFasting Plasma GlucoseHbA1c
Interventions:
Insulin degludecMetformin

How does Fasting Plasma Glucose compare with HbA1c for Medications?

compare
Low Evidence

Within Medications, the table evidence for Fasting Plasma Glucose and HbA1c is similar or too limited to clearly favor one. Interpret cautiously when study counts are low.

Fasting Plasma Glucose

Evidence:53.0
Effectiveness:80.0
Studies:2
Pairs:1
moderate

HbA1c

Evidence:53.0
Effectiveness:80.0
Studies:2
Pairs:1
moderate
No clear winner based on current evidence
Limitations
Limited supporting studies overallSome compared items based on single evidence pair

Comparison based on limited supporting studies.

What should I know about the practical use of Medications?

practical use

Based on 96 evidence relationships across 104 studies

Outcomes:
Body weightHbA1cSystolic blood pressureRenal and urinary disorders incidenceDiabetic retinopathy incidence+32 more
Interventions:
Basal insulinDapagliflozinDPP 4 inhibitorsEmpagliflozinErythropoietin (EPO)+17 more

Evidence Landscape

Evidence landscape

Each bubble represents an evidence relationship. Position shows effectiveness and strength; size reflects study volume.

Limited evidence
Promising
Reliable
High impact
Lower Evidence StrengthHigher Evidence Strength
Lower EffectivenessHigher Effectiveness

Explore by Outcome

OutcomePairsResearchAvg Strength
HbA1c161146
Hypoglycemia events10736
Fasting Plasma Glucose10647
Daily insulin dose5542
Body weight8445
Blood glucose2344
Postprandial glucose5343
Adverse events incidence5233
All Cause mortality2247
BMI3250
Time in range2242
Adipose tissue elastin content1144
Adipose tissue macrophage count1144
Adipose tissue mast cell count1144
Albuminuria1152
Basal insulin dose1145
Beta Cell function2134
Bolus insulin dose1145
Capillary density1144
Cardiovascular events1152
Composite kidney outcomes1152
Diabetic ketoacidosis1134
Diabetic retinopathy incidence1148
Glucose variability1139
Glycemia risk index1145
Hospitalization rate1152
Hyperkalemia1131
Insulin sensitivity1144
Renal and urinary disorders incidence1153
RT2 reaction time (1 Back task)1144
Serious adverse events incidence1137
Severe hypoglycemia1134
Systolic blood pressure2147
Time in level 2 hyperglycemia1145
Total cholesterol1153
Treatment satisfaction1145
Triglycerides1153

Latest Research

Erythropoietin may improve some cognitive tasks during low blood sugar in type 1 diabetes

Published: 16 de mayo de 2026
int-erythropoietin
out-rt2-reaction-time-1-back-task

AI virtual trials match real trial results for GLP-1 vs insulin in type 2 diabetes

Published: 16 de mayo de 2026
int-basal-insulinint-glp-1-receptor-agonists
out-body-weightout-hba1c

High-intensity interval exercise causes less blood sugar drop than moderate exercise in type 1 diabetes

Published: 16 de mayo de 2026
int-insulin-degludec
out-blood-glucose

Finerenone reduces cardiovascular and kidney disease risk in type 2 diabetes

Published: 16 de mayo de 2026
int-finerenone
out-albuminuriaout-cardiovascular-events

Dapagliflozin plus gliclazide combination improves blood sugar control in type 2 diabetes

Published: 16 de mayo de 2026
int-gliclazide-sr
out-fasting-plasma-glucoseout-hba1c

DPP-4 inhibitors show no clear effect on diabetic eye disease risk

Published: 16 de mayo de 2026
int-dipeptidyl-peptidase-4-inhibitors
out-diabetic-retinopathy-incidence

Newer diabetes drugs show stronger weight and blood sugar benefits in prediabetes

Published: 16 de mayo de 2026
int-dapagliflozinint-liraglutide
out-bmiout-body-weight

Early insulin degludec with IV insulin infusion speeds DKA resolution by 3.25 hours without increasing hypoglycaemia risk

Published: 13 de mayo de 2026
int-insulin-degludec
out-all-cause-mortalityout-blood-glucose

Triple combination therapy lowered HbA1c more than dual therapy in type 2 diabetes

Published: 6 de mayo de 2026
int-glimepiride-voglibose-metformin-therapyint-metformin-plus-glimepiride-combination
out-adverse-events-incidenceout-fasting-plasma-glucose

Xiaoke Pill lowered hypoglycemia risk with similar HbA1c control

Published: 6 de mayo de 2026
int-glibenclamide
out-fasting-plasma-glucoseout-hba1c

Full Evidence Table

Showing 96 of 96 evidence pairs
Intervention → Outcome

Basal insulinBody weight

Effectiveness
Moderate Negative
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

Basal insulinHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Basal insulinSystolic blood pressure

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

DapagliflozinBody weight

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

DapagliflozinHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

DapagliflozinRenal and urinary disorders incidence

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

DPP 4 inhibitorsDiabetic retinopathy incidence

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Mixed
Studies
1
Intervention → Outcome

EmpagliflozinAll Cause mortality

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

EmpagliflozinBlood glucose

Effectiveness
Moderate Positive
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

EmpagliflozinDaily insulin dose

Effectiveness
Moderate Positive
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

EmpagliflozinGlucose variability

Effectiveness
Moderate Positive
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

EmpagliflozinHbA1c

Effectiveness
Moderate Positive
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

EmpagliflozinHypoglycemia events

Effectiveness
Neutral
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

EmpagliflozinTime in range

Effectiveness
Moderate Positive
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

Erythropoietin (EPO)RT2 reaction time (1 Back task)

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Consistent
Studies
1
Intervention → Outcome

FinerenoneAlbuminuria

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

FinerenoneCardiovascular events

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

FinerenoneComposite kidney outcomes

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

FinerenoneHospitalization rate

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

FinerenoneHyperkalemia

Effectiveness
Moderate Negative
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

GlibenclamideFasting Plasma Glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

GlibenclamideHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

GlibenclamideHypoglycemia events

Effectiveness
Moderate Negative
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

GlibenclamideSerious adverse events incidence

Effectiveness
Neutral
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

Gliclazide SRFasting Plasma Glucose

Consistency
Consistent
Studies
1
Intervention → Outcome

Gliclazide SRHbA1c

Consistency
Consistent
Studies
1
Intervention → Outcome

Gliclazide SRHypoglycemia events

Consistency
Mixed
Studies
1
Intervention → Outcome

Gliclazide SRPostprandial glucose

Consistency
Consistent
Studies
1
Intervention → Outcome

GlimepirideFasting Plasma Glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

GlimepirideHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

GlimepirideHypoglycemia events

Effectiveness
Neutral
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

Glimepiride + voglibose + metforminAdverse events incidence

Effectiveness
Neutral
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

Glimepiride + voglibose + metforminFasting Plasma Glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Glimepiride + voglibose + metforminHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Glimepiride + voglibose + metforminHypoglycemia events

Effectiveness
Neutral
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

Glimepiride + voglibose + metforminPostprandial glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

GLP 1 receptor agonistsBody weight

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

GLP 1 receptor agonistsHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

GLP 1 receptor agonistsSystolic blood pressure

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Insulin degludecAll Cause mortality

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Insulin degludecBlood glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Consistent
Studies
2
Intervention → Outcome

Insulin degludecHbA1c

Effectiveness
Neutral
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

Insulin degludecHypoglycemia events

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Insulin Glargine Lixisenatide dosisBMI

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Insulin Glargine Lixisenatide dosisBody weight

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Insulin Glargine Lixisenatide dosisDaily insulin dose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Insulin Glargine Lixisenatide dosisFasting Plasma Glucose

Effectiveness
Neutral
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

Insulin Glargine Lixisenatide dosisGlycemia risk index

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Insulin Glargine Lixisenatide dosisHbA1c

Effectiveness
Neutral
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

Insulin Glargine Lixisenatide dosisHypoglycemia events

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Insulin Glargine Lixisenatide dosisPostprandial glucose

Effectiveness
Neutral
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

Insulin Glargine Lixisenatide dosisTime in level 2 hyperglycemia

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Insulin Glargine Lixisenatide dosisTreatment satisfaction

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

LiraglutideBody weight

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

LiraglutideHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

MetforminBody weight

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

MetforminFasting Plasma Glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Consistent
Studies
2
Intervention → Outcome

MetforminHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Consistent
Studies
2
Intervention → Outcome

MetforminHypoglycemia events

Effectiveness
Neutral
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

Metformin + glimepirideAdverse events incidence

Effectiveness
Neutral
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

Metformin + glimepirideDaily insulin dose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Metformin + glimepirideFasting Plasma Glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Consistent
Studies
2
Intervention → Outcome

Metformin + glimepirideHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Consistent
Studies
2
Intervention → Outcome

Metformin + glimepirideHypoglycemia events

Effectiveness
Neutral
Strength
Weak
Consistency
Consistent
Studies
2
Intervention → Outcome

Metformin + glimepiridePostprandial glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

PioglitazoneAdipose tissue elastin content

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

PioglitazoneAdipose tissue macrophage count

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

PioglitazoneAdipose tissue mast cell count

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

PioglitazoneBody weight

Effectiveness
Moderate Negative
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

PioglitazoneCapillary density

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

PioglitazoneFasting Plasma Glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

PioglitazoneInsulin sensitivity

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

PioglitazoneTriglycerides

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

SemaglutideBasal insulin dose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

SemaglutideBMI

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

SemaglutideBody weight

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Consistent
Studies
2
Intervention → Outcome

SemaglutideBolus insulin dose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

SemaglutideDaily insulin dose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

SemaglutideDiabetic ketoacidosis

Effectiveness
Neutral
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

SemaglutideHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Consistent
Studies
2
Intervention → Outcome

SemaglutideSevere hypoglycemia

Effectiveness
Neutral
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

SemaglutideTime in range

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Systemic steroid therapyAdverse events incidence

Effectiveness
Moderate Positive
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

Systemic steroid therapyBeta Cell function

Effectiveness
Neutral
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

TeplizumabAdverse events incidence

Effectiveness
Moderate Negative
Strength
Insufficient
Consistency
Unclear
Studies
1
Intervention → Outcome

TeplizumabBeta Cell function

Effectiveness
Moderate Positive
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

TeplizumabDaily insulin dose

Effectiveness
Moderate Positive
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

TeplizumabHbA1c

Effectiveness
Moderate Positive
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

TirzepatideBMI

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

TirzepatideFasting Plasma Glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

TirzepatideTotal cholesterol

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Voglibose + metforminAdverse events incidence

Effectiveness
Neutral
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

Voglibose + metforminFasting Plasma Glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Voglibose + metforminHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Voglibose + metforminHypoglycemia events

Effectiveness
Neutral
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

Voglibose + metforminPostprandial glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1