Effect of colestimide therapy for glycemic control in type 2 diabetes mellitus with hypercholesterolemia.

Abstract:

:Colestimide is a new anion-exchange resin used to lower serum cholesterol in Japan. Because of its excellent compliance, colestimide can replace cholestyramine. To clarify the effect of colestimide on glycemic controls, colestimide (3 g/day) or pravastatin (10 mg) was given orally to patients with type 2 diabetes treated with oral hypoglycemic agents or insulin who had low-density lipoprotein (LDL) cholesterol levels exceeding 3.6 mmol/l. In the colestimide groups, fasting plasma glucose concentrations had decreased significantly from 8.5 +/- 1.4 to 7.7 +/- 1.5 mmol/l at 3 months (P<0.05), as had glycated hemoglobin (HbA1c) from 7.7 +/- 0.7% to 6.8 +/- 0.5%, for an 8% reduction (P<0.01). Fasting plasma glucose and HbA1c did not change in the pravastatin group. Total cholesterol and LDL-cholesterol decreased significantly (P<0.01) with either medication, with similar reduction rates for both drugs. Doses of oral hypoglycemic agents and insulin did not change during the study, and body weight remained stable. Considering that patients with type 2 diabetes often have hyperlipidemia, colestimide therapy may have a clinically useful dual action in such patients.

journal_name

Endocr J

journal_title

Endocrine journal

authors

Yamakawa T,Takano T,Utsunomiya H,Kadonosono K,Okamura A

doi

10.1507/endocrj.k05-098

subject

Has Abstract

pub_date

2007-02-01 00:00:00

pages

53-8

issue

1

eissn

0918-8959

issn

1348-4540

pii

JST.JSTAGE/endocrj/K05-098

journal_volume

54

pub_type

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