A 61-year-old with T2DM and CKD is on metformin (eGFR 40), SGLT2i, and GLP-1 RA. A1c 7.6%. Which adjustment is appropriate regarding metformin?...

Question

A 61-year-old with T2DM and CKD is on metformin (eGFR 40), SGLT2i, and GLP-1 RA. A1c 7.6%. Which adjustment is appropriate regarding metformin?

Accepted Answer

Continue metformin; reassess dosing and monitor eGFR

Answer

Stop metformin immediately at eGFR 40

Answer

Increase metformin above max dose

Answer

Metformin contraindicated in all CKD

Answer

Use metformin only if eGFR >60

us-abfm MCQ (SBA): Metformin Use in CKD