Gestational diabetes & diabetes in pregnancy

Empagliflozin for the preservation of beta‐cell function in women with recent gestational diabetes: A randomized placebo‐controlled trial

Diabetes Obes MetabPublished Randomised controlled trial

Authors' conclusion

Empagliflozin had no significant effect on beta-cell function in women with recent GDM. Given the sample size evaluated in this trial, the use of SGLT-2 inhibitors warrants further study to elucidate their potential impact on T2DM prevention in women with previous GDM.

Study context

Population
Women with recent GDM (6–36 months postpartum)randomized 1:1
Participants
91 women
Comparison
Empagliflozin 10 mg/day vs placebo for 48 weeks
Primary endpoint
Baseline-adjusted ISSI-2
Follow-up
48 weeks
Methodological detailsdouble-blind, placebo-controlled, randomized 1:1
  • Double-blind
  • Placebo-controlled
  • Randomized 1:1

Primary result

As reported in the abstract

Empagliflozin

525

± 30.4

Placebo

560

± 33.4

P = 0.43

Secondary outcomes

Prevalence of dysglycemia (prediabetes/diabetes) · 48 weeks · no difference

P = 0.18

Worsened glucose tolerance

P = 0.08

Additional beta-cell function measures (insulinogenic index/HOMA-IR; ΔCpep0-120/Δgluc0-120 × Matsuda index)

Did not differ between the groups

Original publication

Empagliflozin for the preservation of beta‐cell function in women with recent gestational diabetes: A randomized placebo‐controlled trial. Diabetes Obes Metab. Published 18 September 2025. doi:10.1111/dom.70146

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