Secondary metformin monotherapy failure in individuals with type 2 ...
What is already known about this subject? In the double-blind, randomized clinical trial ADOPT (A Diabetes Outcome Progression), in 4360 patients with type 2 diabetes mellitus, the cumulative prevalence of metformin monotherapy (MM) failure after 5 years of follow-up was 21%. Although a few studies have characterized secondary MM failure in the real world, they used data from a single ...

We studied 1,799 type 2 diabetic patients who, between 2004 and 2006, lowered their A1C to <7% after initiating metformin monotherapy as their first-ever anti-hyperglycemic drug. We examined all A1C values recorded through 31 December 2008 (2-5 years of follow-up), defining secondary failure as a subsequent A1C ≥7.5% or the addition or substitution of another anti-hyperglycemic agent. We ...

Secondary metformin monotherapy failure in individuals with type 2 ...

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Comorbid musculoskeletal disease resulted in lower HbA1C at the time of diabetes diagnosis, but in higher values after five years (p = 0.044). Patients with cardiovascular diseases had sustained elevated levels of SBP (p = 0.014). Effect modification by socioeconomic status was observed in some comorbidity subgroups.
What's next after Metformin
If you are having surgery or an Xray or scan requiring the injection of a dye, check with your doctor as you may need to stop taking metformin . If you have kidney disease, the dose of metformin may need to be reduced or stopped. Taking metformin for more than 5 years can lower your Vitamin B12 levels so your doctor may check this.
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