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Glyburide (Diabeta)

Raw research findings for this medication. Mostly single studies, not curated or confirmed robust.

About Glyburide

What it is

Glyburide (glibenclamide) is a sulfonylurea: it closes potassium channels in the insulin-making beta cells of the pancreas, which makes them release more insulin and lowers blood sugar. It is used for type 2 diabetes. It is sold as Diabeta, Micronase and Daonil, among other names.

How genes come into it

The US FDA lists G6PD for glyburide: in people with G6PD deficiency, sulfonylureas can cause haemolysis, the breakdown of red blood cells. Glyburide is broken down by CYP2C9 and CYP3A4, and studies have looked at CYP2C9 variants and low blood sugar, and at KCNJ11, which makes part of the channel glyburide closes, for how well it works. There is no CPIC or DPWG guideline, and the other studies on this page are single findings.

Published guidelines

Clinical guidelines that name a gene for Glyburide. They sort people into groups by the gene copies they carry.

US FDA: G6PD. Deficient with CNSHA · Variable · Deficient.

What research found

Every published finding on gene variants and Glyburide. Upload your DNA file to see which of these rows apply to you.

Rated evidence (4 rated variants)

PharmGKB weighs all studies of a variant and rates how strong the evidence is, from 1A (strongest) to 4.

G6PD G6PD A- 202A_376G, G6PD B (reference): Level 3. Toxicity: Hemolytic Anemia. 2.

G6PD rs5030868: Level 3. Toxicity: Diabetes Mellitus, Type 2. 1.

NOS1AP rs10494366: Level 3. Toxicity: Diabetes Mellitus, Type 2, Hypoglycemia. 1.

SCNN1B rs889299: Level 3. Toxicity: Diabetes Mellitus, Type 2. 1.

Response (13 findings)

Studies of how well it worked in people carrying a variant.

ABCB11 rs4148776: Allele G is associated with increased response to glibenclamide in people with as compared to allele A.

ABCC5 rs3749442: Allele A is associated with increased response to glibenclamide in people with as compared to allele G.

BDKRB2 rs5224: Allele A is associated with increased response to glibenclamide in people with as compared to allele G.

CHST13 rs1054097: Allele C is associated with increased response to glibenclamide in people with as compared to allele G.

Dosing (4 findings)

Studies of how much of the drug people needed or tolerated.

ABCC8 rs757110: Allele C is not associated with dose of glibenclamide, gliclazide, glimepiride, glipizide and gliquidone in people with Diabetes Mellitus as compared to allele A.

KCNJ11 rs5215: Allele C is not associated with dose of glibenclamide, gliclazide, glimepiride, glipizide and gliquidone in people with Diabetes Mellitus as compared to allele T.

KCNJ11 rs5219: Allele C is not associated with dose of glibenclamide, gliclazide, glimepiride, glipizide and gliquidone in people with Diabetes Mellitus as compared to allele T.

SLCO2B1 rs2306168: Genotype TT is not associated with concentrations of glibenclamide, rosuvastatin or sulfasalazine in healthy individuals as compared to genotype CC.

Study findings and evidence levels: PharmGKB (CC BY-SA 4.0). Guidelines: CPIC and DPWG, as bundled in PharmCAT. Most studies were done mainly in people of European ancestry.

Related Drugs

More drugs from the same category

Amaryl (Sulfonylureas)

Diamicron (Sulfonylureas)

Glucotrol (Sulfonylureas)

Not a prescribing recommendation. This page is educational information about pharmacogenomic research and clinical guidelines - it is not medical or dosing advice, and not a prediction of how any medication will work for you. Never start, stop, or change a medication or dose based on it; talk to your doctor or pharmacist, who can order clinical-grade testing if appropriate.

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Content updated September 2026.

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