Sevelamer in a diabetologist's perspective: A phosphate-binding resin with glucose-lowering potential

A. Brønden, M. Hansen, D. P. Sonne, U. Rohde, T. Vilsbøll, Filip K. Knop*

*Corresponding author for this work

Research output: Contribution to journalReviewResearchpeer-review

10 Citations (Scopus)

Abstract

Sevelamer is a calcium-free and metal-free phosphate-binding oral drug used in the management of hyperphosphataemia in chronic kidney disease. Preclinical and clinical trials have shown glucose and lipid-lowering effects of sevelamer, thereby giving rise to a potential role of the drug in the treatment of patients with type 2 diabetes. These 'novel' effects are most probably derived from the bile acid-binding properties of sevelamer. The proposed potential is supported by the approval of the bile acid sequestrant colesevelam in the United States for the treatment of type 2 diabetes and hypercholesterolaemia. This article offers a brief review on the effects of sevelamer and a perspective on the potential mechanisms behind the glucose-lowering effect of the drug.

Original languageEnglish
JournalDiabetes, Obesity and Metabolism
Volume17
Issue number2
Pages (from-to)116-120
Number of pages5
ISSN1462-8902
DOIs
Publication statusPublished - 1 Feb 2015

Bibliographical note

Publisher Copyright:
© 2014 John Wiley & Sons Ltd.

Keywords

  • Bile acid sequestrant
  • Chronic kidney disease
  • Diabetes
  • HbA1c
  • Phosphate resin

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