Association of Metformin Use With Risk of Lactic Acidosis Across the Range of Kidney Function
Author(s) -
Benjamin Lazarus,
Aozhou Wu,
JungIm Shin,
Yingying Sang,
G. Caleb Alexander,
Alex Secora,
Lesley A. Inker,
Josef Coresh,
Alex R. Chang,
Morgan E. Grams
Publication year - 2018
Publication title -
jama internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 5.14
H-Index - 342
eISSN - 2168-6114
pISSN - 2168-6106
DOI - 10.1001/jamainternmed.2018.0292
Subject(s) - medicine , metformin , interquartile range , kidney disease , renal function , lactic acidosis , type 2 diabetes , diabetes mellitus , hazard ratio , retrospective cohort study , acidosis , cohort , intensive care medicine , endocrinology , insulin , confidence interval
Approximately 1 million patients in the United States with type 2 diabetes mellitus and mild-to-moderate kidney disease do not receive guideline-directed therapy with metformin. This may reflect uncertainty regarding the risk of acidosis in patients with chronic kidney disease.
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