Question

A 69-year-old woman with long-standing type 2 diabetes and stage 3b chronic kidney disease (eGFR 32 mL/min/1.73 m²) is on metformin 1 g twice daily. What should be done with her metformin?

Accepted Answer

Reduce the dose or cease metformin due to reduced eGFR and risk of lactic acidosis

Answer

Continue current dose without change

Answer

Increase the dose

Answer

Switch to high-dose NSAIDs

Answer

Add an SGLT2 inhibitor without altering metformin

Practice question

A 69-year-old woman with long-standing type 2 diabetes and stage 3b chronic kidney disease (eGFR 32 mL/min/1.73 m²) is on metformin 1 g twice daily. What should be done with her metformin?