Revision sistematica riesgo de acidosis con tratamiento metformina

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Riesgo de acidosis láctica fatal y no fatal con el uso de metformina para la diabetes mellitus tipo 2

Characteristics of included studies Outcomes

C-reactive proteitn, complement factor C3

Notes Allocation concealment

D

Study

Cavallo-Perin 1989

Methods

TRIAL DESIGN: Double-blind crossover randomised controlled trial DURATION: 6 months

Participants

COUNTRY: Italy SETTING: outpatient Treatment N: 10 Control N: 10 AGE: 51+/-2.1 SEX: 60% men INCLUSION: Type 2 DM EXCLUSIONS: liver or kidney disease, heart failure, other drugs, or chronic infection

Interventions

TREATMENT: Metformin 850 mg BID CONTROL: phenformin 50 mg BID (not analysed)

Outcomes

Weight, glucose, HbA1, and blood lactate levels at different times of day.

Notes Allocation concealment

A

Study

Cefalu 2002

Methods

TRIAL DESIGN: Open-label randomised controlled trial DURATION: 4.5 months

Participants

COUNTRY: United States SETTING: outpatient Treatment N: 91 Control N: 91 Age: 35-70 Sex: not stated Inclusion: type 2 DM Exclusion: not stated

Interventions

TREATMENT: metformin 850 mg TID with and without glipizide CONTROL: glipizide 20 mg/day

Outcomes

Glycemic control, body weight, abdominal fat distribution, PAI-1 levels

Notes Allocation concealment

D

Study

Chakrabarti 1965

Methods

TRIAL DESIGN: Single-blind crossover comparative trial; not randomised DURATION: 2 months placebo, 4 months treatment

Participants

COUNTRY: United Kingdom SETTING: outpatient Treatment N: 27 Control N: 27 AGE: 56.3 SEX: 95% men INCLUSION: Type 2 DM with coronary artey disease, claudication EXCLUSIONS: none listed Página 34

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