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 Notes Allocation concealment

D

Study

Jones 2002

Methods

TRIAL DESIGN: Double-blind randomised controlled trial DURATION: 4 months

Participants

COUNTRY: United States SETTING: outpatient Treatment N: 42 Control N: 40 Age: 14 +/- 1.8 Sex: 30% men Inclusion: pediatric patients age 10-16 with type 2 DM Exclusions: creatinine > 76 mcmole/L, hepatic dysfunction

Interventions

TREATMENT: metformin up to 2 g/day COMPARISON: placebo

Outcomes

Fasting glucose, HbA1c

Notes Allocation concealment

D

Study

Josephkutty 1990

Methods

TRIAL DESIGN: Double-blind randomised controlled trial DURATION: 3 months

Participants

COUNTRY: United Kingdom SETTING: outpatient Treatment N: 20 Control N: 20 Treatment AGE: 76.5 Control AGE: 80.5 Treatment SEX: 30% men Control SEX: 30% men INCLUSION: Type 2 DM patients, aged 65 or older EXCLUSIONS: renal or liver function abnormalities, recent congestive heart failure

Interventions

TREATMENT: Metformin 1g BID COMPARISON: tolbutamide

Outcomes

Fasting insulin, glucose, lactate levels, lipids and weight.

Notes Allocation concealment

B

Study

Josse 1995

Methods

TRIAL DESIGN: randomised controlled trial of acarbose versus placebo. Metformin in nonrandomised treatment strata DURATION: 12 months

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