Question

A 58-year-old with T2DM and CKD has A1c 7.2% and eGFR 32. He is on metformin 1000 mg BID. What change is appropriate?

Accepted Answer

Reduce or discontinue metformin as eGFR approaches <30

Answer

Continue metformin at current dose indefinitely

Answer

Stop metformin immediately at eGFR 32

Answer

Switch to sulfonylurea only

Answer

No adjustment ever needed

Practice question

A 58-year-old with T2DM and CKD has A1c 7.2% and eGFR 32. He is on metformin 1000 mg BID. What change is appropriate?