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Deprecated: Implicit conversion from float 300.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Acute+Med+Surg 2017 ; 4 (1): 123-126 Nephropedia Template TP
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A case of type 2 diabetes mellitus with metformin-associated lactic acidosis initially presenting the appearance of a sulfonylurea-related hypoglycemic attack #MMPMID29123848
Nishihama K; Maki K; Okano Y; Hashimoto R; Hotta Y; Uemura M; Yasuma T; Suzuki T; Hayashi T; Ishikawa E; Yano Y; Gabazza EC; Ito M; Takei Y
Acute Med Surg 2017[Jan]; 4 (1): 123-126 PMID29123848show ga
CASE: A 64-year-old Japanese woman with diabetes mellitus was admitted for hypoglycemia. Her diabetes had been under good control with glimepiride, voglibose, exenatide, and metformin for a few years. Although overt proteinuria was observed, the serum creatinine values were within normal range during the routine outpatient follow-up. Hypoglycemic attack caused by glimepiride and loss of appetite by urinary tract infection were diagnosed. Then, metformin-associated lactic acidosis with acute renal failure caused by dehydration was detected. OUTCOME: Her condition was improved by continuous veno-venous hemodiafiltration and hemodialysis, known to be useful to remove metformin. CONCLUSION: We reported a case of metformin-associated lactic acidosis with hypoglycemia during routine treatment of diabetes that was successfully rescued by early renal replacement therapy.