TCF7L2 and therapeutic response to sulfonylureas in patients with type 2 diabetes
2011

TCF7L2 and Response to Diabetes Treatment

Sample size: 189 publication Evidence: moderate

Author Information

Author(s): Andreas Holstein, Michael Hahn, Antje Körner, Michael Stumvoll, Peter Kovacs

Primary Institution: University of Leipzig

Hypothesis

Do patients with diabetes risk alleles at rs7903146 have an altered response to sulfonylureas?

Conclusion

Patients with diabetes risk alleles in TCF7L2 have a different response to sulfonylureas, leading to earlier treatment failure.

Supporting Evidence

  • The TCF7L2 genotype was the only predictor of sulfonylurea treatment failure.
  • The rs7903146 T allele was more frequent in patients who failed to respond to sulfonylureas.
  • Patients with the T allele had a higher risk of treatment failure.

Takeaway

Some people with diabetes have a gene that makes their medicine not work as well, so they might need to try different treatments.

Methodology

Logistic regression was used to analyze the relationship between TCF7L2 genotype and sulfonylurea treatment failure.

Limitations

The study had a low sample size, which may limit the statistical power of the findings.

Participant Demographics

Patients with type 2 diabetes treated with sulfonylureas, average age around 78 years, mixed gender.

Statistical Information

P-Value

0.046

Confidence Interval

1.01-2.45

Statistical Significance

p=0.046

Digital Object Identifier (DOI)

10.1186/1471-2350-12-30

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