Abstract
Metformin-associated lactate acidosis is rare but serious and characterized by metabolic acidosis and elevated lactate. We describe a single-institution experience of four cases in one year. Despite pH levels of 6.85 to 7.12 and lactate levels of 11-28 mmol/l three of the patients survived. Two of the patients had normal kidney function previous to hospitalization. Treatment includes fluid replacement, IV sodium bicarbonate and haemodialysis.
Bidragets oversatte titel | Treatment of metformin-associated lactate acidosis by haemodialysis |
---|---|
Originalsprog | Dansk |
Tidsskrift | Ugeskrift for Laeger |
Vol/bind | 174 |
Udgave nummer | 23 |
Sider (fra-til) | 1604-6 |
Antal sider | 3 |
ISSN | 0041-5782 |
Status | Udgivet - 2012 |
Emneord
- Acidosis, Lactic
- Aged
- Diabetes Mellitus, Type 2
- Female
- Humans
- Hypoglycemic Agents
- Male
- Metformin
- Renal Dialysis