Question

A 58-year-old with diabetes and CKD3a is started on metformin. eGFR is 50 mL/min/1.73 m². What is ADA guidance?

Accepted Answer

Metformin is safe; reassess dose if eGFR <45

Answer

Avoid metformin if eGFR <60

Answer

Use metformin only if eGFR >90

Answer

Stop metformin at eGFR 45-60

Answer

Metformin causes lactic acidosis invariably

Practice question

A 58-year-old with diabetes and CKD3a is started on metformin. eGFR is 50 mL/min/1.73 m². What is ADA guidance?