Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 231.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\25827460
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Endocrinol+Metab+(Seoul)
2015 ; 30
(1
): 78-83
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Metformin-associated lactic acidosis: predisposing factors and outcome
#MMPMID25827460
Kim MJ
; Han JY
; Shin JY
; Kim SI
; Lee JM
; Hong S
; Kim SH
; Nam MS
; Kim YS
Endocrinol Metab (Seoul)
2015[Mar]; 30
(1
): 78-83
PMID25827460
show ga
BACKGROUND: Metformin is considered the first choice oral treatment for type 2
diabetes patients in the absence of contraindications. Rarely, life-threatening
complications associated with metformin treatment are seen in some patients with
underlying diseases. The aim of this study was to further investigate the
clinical profiles and risk factors for metformin-associated lactic acidosis
(MALA) and the treatment modalities according to survival. METHODS: To identify
MALA, we performed a retrospective study in seven diabetic patients who were
taking metformin and had been diagnosed with lactic acidosis at Inha University
Hospital between 1995 and 2012. For each patient, we recorded the age, sex, daily
metformin dosage, laboratory test results, admission diagnosis, and risk factors.
Also, concurrent conditions, treatment modalities, and outcomes were evaluated.
RESULTS: Six patients had risk factors for lactic acidosis before admission. All
patients had renal impairment on admission as a precipitating risk factor. Five
patients survived and two patients died despite early renal replacement therapy.
Older patients tended to have a poorer prognosis. CONCLUSION: Renal function must
be monitored in elderly type 2 diabetes mellitus patients with underlying
diseases and conditions causing renal impairment who begin metformin treatment.
Accurate recognition of MALA and initiation of renal replacement are essential
for treatment.