Objective: Hyperglycemia is a risk factor for microvascular complications and may increase the risk of cardiovascular disease in patients with type 2 diabetes. This study tested the LDL cholesterol-lowering agent colesevelam HCl (colesevelam) as a potential novel treatment for improving glycemic control in patients with type 2 diabetes on sulfonylurea-based therapy VSports手机版. .

Research design and methods: A 26-week, randomized, double-blind, placebo-controlled, parallel-group, multicenter study was carried out between August 2004 and August 2006 to evaluate the efficacy and safety of colesevelam for reducing A1C in adults with type 2 diabetes whose glycemic control was inadequate (A1C 7. 5-9. 5%) with existing sulfonylurea monotherapy or sulfonylurea in combination with additional oral antidiabetes agents. In total, 461 patients were randomized (230 given colesevelam 3. 75 g/day and 231 given placebo) V体育安卓版. The primary efficacy measurement was mean placebo-corrected change in A1C from baseline to week 26 in the intent-to-treat population (last observation carried forward). .

Results: The least squares (LS) mean change in A1C from baseline to week 26 was -0 V体育ios版. 32% in the colesevelam group and +0. 23% in the placebo group, resulting in a treatment difference of -0. 54% (P < 0. 001). The LS mean percent change in LDL cholesterol from baseline to week 26 was -16. 1% in the colesevelam group and +0. 6% in the placebo group, resulting in a treatment difference of -16. 7% (P < 0. 001). Furthermore, significant reductions in fasting plasma glucose, fructosamine, total cholesterol, non-HDL cholesterol, and apolipoprotein B were demonstrated in the colesevelam relative to placebo group at week 26. .

Conclusions: Colesevelam improved glycemic control and reduced LDL cholesterol levels in patients with type 2 diabetes receiving sulfonylurea-based therapy VSports最新版本. .