Question

A 64-year-old with long-standing diabetes and CKD (eGFR 28) asks if metformin should be continued. Which statement aligns with guidance?

Accepted Answer

Metformin can be continued down to eGFR 30 with caution; consider reduction/stop if <30

Answer

Metformin is safe at any eGFR

Answer

Metformin must be stopped if A1c <7%

Answer

Stop metformin at eGFR 45

Answer

Switch to glyburide

Practice question

A 64-year-old with long-standing diabetes and CKD (eGFR 28) asks if metformin should be continued. Which statement aligns with guidance?