A 61-year-old man with long-standing type 2 diabetes is on metformin 1 g BD. eGFR declines to 28 mL/min/1.73 m². What should be done regarding metform...

Question

A 61-year-old man with long-standing type 2 diabetes is on metformin 1 g BD. eGFR declines to 28 mL/min/1.73 m². What should be done regarding metformin?

Accepted Answer

Stop metformin (contraindicated at eGFR

Answer

Continue current dose

Answer

Reduce to 500 mg daily

Answer

Switch to gliclazide only

Answer

Add pioglitazone and continue metformin

prescribing safety assessment MCQ (SBA): Type 2 Diabetes—Metformin and CKD

A 61-year-old man with long-standing type 2 diabetes is on metformin 1 g BD. eGFR declines to 28 mL/min/1.73 m². What should be done regarding metformin?