A 72-year-old with type 2 diabetes and eGFR 28 mL/min/1.73 m² is taking metformin 1,000 mg twice daily. What should be done regarding metformin?...

Question

A 72-year-old with type 2 diabetes and eGFR 28 mL/min/1.73 m² is taking metformin 1,000 mg twice daily. What should be done regarding metformin?

Accepted Answer

Discontinue metformin due to low eGFR

Answer

Continue current dose

Answer

Reduce to 500 mg daily and continue

Answer

Switch to glyburide

Answer

Hold metformin only on dialysis days

us-abfm MCQ (SBA): Type 2 Diabetes-Metformin in CKD