Metformin-Associated Lactic Acidosis: Predisposing Factors and Outcome

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Metformin-Associated Lactic Acidosis: Predisposing Factors and Outcome

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) a...

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Metformin-Associated Lactic Acidosis

Metformin has been used in Europe since the 1970s to treat type 2 diabetes mellitus (T2DM). Usage has increased since the results of the UK Prospective Diabetes Study were published [1]. Metformin is widely endorsed as initial therapy by professional organizations because of low cost, a good safety profile, and potential protection against cardiovascular disease [2]. Therefore, it is now consid...

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Metformin-associated lactic acidosis.

: Metformin is the most commonly prescribed oral antidiabetic agent. Despite a good safety profile in most patients with diabetes, the risk of metformin-associated lactic acidosis is real if safety guidelines are ignored. Experience with 3 cases of metformin-associated lactic acidosis is reported. Two cases were caused by inappropriate use of metformin in the presence of renal, cardiac and hepa...

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Outcome of severe lactic acidosis associated with metformin accumulation

INTRODUCTION Metformin associated lactic acidosis (MALA) may complicate metformin therapy, particularly if metformin accumulates due to renal dysfunction. Profound lactic acidosis (LA) generally predicts poor outcome. We aimed to determine if MALA differs in outcome from LA of other origin (LAOO). METHODS We conducted a retrospective analysis of all patients admitted with LA to our medical IC...

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Metformin and Lactic Acidosis

Probably the most common mechanism by which metformin elevates blood lactate is by inducing catecholamine release in those who regulate or prescribe it. Caution in restricting the use of metformin for the treatment of type 2 diabetes has been rationalized on the basis of J) its chemical identity as a biguanide, 2) its ability to modify hepatic intermediary metabolism, 3) its administration to i...

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ژورنال

عنوان ژورنال: Endocrinology and Metabolism

سال: 2015

ISSN: 2093-596X,2093-5978

DOI: 10.3803/enm.2015.30.1.78