Evidence mapPaperPMID 41175191Full record

ArticleNaunyn-Schmiedeberg's archives of pharmacology2026

The beneficial effects of empagliflozin-metformin combination on cardiovascular risk factors in type 2 diabetes mellitus patients.

Maryam Aghajani Bac, Zahra Nasehi, Fouzieh Zadhoush

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Article in Naunyn-Schmiedeberg's archives of pharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Maryam Aghajani BacSchool of Pharmacy and Pharmaceutical Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.
Zahra NasehiDepartment of Clinical Biochemistry, School of Pharmacy and Pharmaceutical Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.
Fouzieh ZadhoushDepartment of Clinical Biochemistry, School of Pharmacy and Pharmaceutical Sciences, Isfahan University of Medical Sciences, Isfahan, Iran. f.zadhoush@pharm.mui.ac.ir.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Type 2 diabetes mellitus (T2DM) is a multifactorial disease closely associated with increased cardiovascular risk, involving insulin resistance (IR), dyslipidemia, oxidative stress, and systemic inflammation. Empagliflozin, a sodium-glucose cotransporter 2 (SGLT2) inhibitor, has shown cardiovascular benefits beyond glycemic control. This study aimed to evaluate the effects of Empagliflozin-Metformin combination on cardiovascular risk factors in T2DM patients. In this cross-sectional study, 124 participants were divided into three groups: healthy control group (n = 50), T2DM patients treated with metformin alone (Met group, n = 37), and T2DM patients treated with Empagliflozin-Metformin combination (Empa-Met group, n = 37). Serum levels of fasting blood glucose (FBG), HbA1c, lipid profile, insulin, hs-CRP, malondialdehyde (MDA), total antioxidant capacity (TAC), and free thiol groups (-SH) were measured. IR was assessed using the homeostatic model assessment (HOMA-IR), and cardiovascular risk was estimated using the atherogenic index of plasma (AIP) and lipid ratios. The Empa-Met group exhibited significantly higher FBG levels and lower levels of total cholesterol (TC), LDL-C, triglycerides (TG), insulin, LDL/HDL, TC/HDL ratios, and HOMA-IR compared to the Met group. The Empa-Met group also showed significantly higher -SH levels and lower MDA levels compared to the Met group. Correlation analyses revealed significant correlations between oxidative stress markers, IR, and atherogenic indices. Empagliflozin-Metformin combination therapy may offer additional benefits over metformin monotherapy in improving lipid parameters, IR, and oxidative stress in T2DM patients. These findings support the potential cardioprotective role of empagliflozin and highlight the need for long-term interventional studies to confirm our results.

Indexed as

Benzhydryl CompoundsCardiovascular DiseasesDiabetes Mellitus, Type 2GlucosidesHypoglycemic AgentsMetforminSodium-Glucose Transporter 2 InhibitorsAdultAgedBlood GlucoseCross-Sectional StudiesDrug Therapy, CombinationFemaleHeart Disease Risk FactorsHumansInsulin ResistanceBenzhydryl CompoundsBlood GlucoseempagliflozinGlucosidesHypoglycemic AgentsLipidsMetforminSodium-Glucose Transporter 2 InhibitorsEmpagliflozinInflammationInsulin resistanceMetforminOxidative stressType 2 diabetes

Identifiers

PMID41175191

What Socratic holds

Texttitle and abstract
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.