Glibenclamide Therapy in Type 2 Diabetes

DOI:

https://doi.org/10.37285/ijpsn.2009.2.1.11

Authors

  • Sai Laxmi M.
  • Venkatesham A.
  • A. Rama Narsimha Reddy
  • Shankaraiah P.
  • Krishna D. R.
  • Y. Narsihma Reddy

Abstract

Glibenclamide is a second generation sulfonylurea used in the treatment of type 2 diabetes. The study included 57 type 2 diabetic patients of either sex, aged above 21 years, an who were under treatment with glibenclamide. Blood samples were collected after 2 hours of drug intake and the next day, early morning before taking the drug. Serum glucose levels and glycosylated hemoglobin levels were estimated. The effect of glibenclamide treatment on long-term glycemic control was studied. There was no correlation between peak serum drug concentrations and post prandial glucose level as well as between trough serum drug and fasting glucose concentrations as could be observed from the coefficient of correlation (R2) values of 0.0319 and 0.0013, respectively. There is no correlation between peak serum drug concentration and HbA1c% as can be observed from the R2 value of 0.0101.The insignificant correlation between the parameters indicates that upon chronic therapy with glibenclamide desensitization and receptor down regulation occurs leading to loss of glycemic control. It was observed that the increased dose of glybenclamide also did not improve glycemic control.

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Keywords:

Glibenclamide, blood glucose, glycosylated hemoglobin, type-2 diabetes

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Published

2009-05-31

How to Cite

1.
M. SL, A. V, Reddy ARN, P. S, D. R. K, Reddy YN. Glibenclamide Therapy in Type 2 Diabetes. Scopus Indexed [Internet]. 2009 May 31 [cited 2024 May 19];2(1):465-70. Available from: http://www.ijpsnonline.com/index.php/ijpsn/article/view/325

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