Colesevelam Hydrochloride Therapy in Patients With Type 2 Diabetes Mellitus Treated With Metformin

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Abstract
Colesevelam hydrochloride is a bile acid sequestrant that was approved as a cholesterol-lowering agent in the United States in 2000 and approved in January 2008 to improve glycemic control in adults with type 2 diabetes mellitus (T2DM).1 A pilot study suggested that colesevelam improved glycemic control in patients with T2DM, resulting in a mean reduction in hemoglobin A1c (HbA1c) level of 0.5% compared with placebo (P = .007).2 Furthermore, in patients with T2DM with a higher baseline HbA1c level (≥8.0%), colesevelam reduced mean HbA1c level by 1.0% (P = .002 vs placebo).2 The present report describes a larger trial to assess the efficacy and safety of colesevelam for improving glycemic control in patients with T2DM not adequately controlled by a stable regimen of metformin-based therapy.

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