Question

A 72-year-old man with long-standing type 2 diabetes and stage 3b CKD (eGFR 35 mL/min/1.73 m²) is on metformin. His A1c is 7.1%. Which is the most appropriate management of his metformin therapy?

Accepted Answer

Reduce metformin dose and monitor renal function

Answer

Continue current metformin dose without changes

Answer

Increase metformin dose to improve glycemic control

Answer

Discontinue metformin due to eGFR <45

Answer

Switch to glyburide

Practice question

A 72-year-old man with long-standing type 2 diabetes and stage 3b CKD (eGFR 35 mL/min/1.73 m²) is on metformin. His A1c is 7.1%. Which is the most appropriate management of his metformin therapy?