Question

A 67-year-old man with type 2 diabetes on metformin 1 g twice daily is found to have eGFR 28 mL/min/1.73 m2. He is otherwise well. What should you do regarding metformin?

Accepted Answer

Stop metformin

Answer

Continue current dose

Answer

Reduce to 500 mg twice daily

Answer

Switch immediately to gliclazide

Answer

Start SGLT2 inhibitor without altering metformin

Practice question

A 67-year-old man with type 2 diabetes on metformin 1 g twice daily is found to have eGFR 28 mL/min/1.73 m2. He is otherwise well. What should you do regarding metformin?