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

Lean 1983

Methods

TRIAL DESIGN: Prospective cohort study or metformin in a randomised controlled trial of ciclazindol DURATION: 2 months

Participants

COUNTRY: United Kingdom SETTING: outpatient Treatment N: 10 Control N: 0 AGE: 42-68 SEX: 30% men INCLUSION: obese patients with type 2 DM, treated with metformin EXCLUSIONS: hepatic or renal impairment, heart disease, psychiatric or alcohol problems

Interventions

TREATMENT: metformin 500 mg BID + placebo or metformin + ciclazindol 25-75 mg/day COMPARISON: none

Outcomes

Plasma insulin, triglycerides, lactate pyruvate, and weight.

Notes Allocation concealment

D

Study

Lee 1998

Methods

TRIAL DESIGN: Double-blind randomised controlled trial DURATION: 24 weeks

Participants

COUNTRY: United States SETTING: University center Treatment N: 24 Control N: 120 Treatment AGE: 59+/-3 Control AGE: 61+/-2 SEX: 0 men INCLUSION: Obese type 2 DM EXCLUSIONS: major illnes, cardiac, renal or hepatic disorder, medicine known to affect body weight or cholesterol metabolism

Interventions

TREATMENT: Metformin 850 mg BID COMPARISON: placebo

Outcomes

Food consumption and weight loss

Notes Allocation concealment

B

Study

Lord 1983

Methods

TRIAL DESIGN: Open-label cross-over trial with untreated controls DURATION: 4 weeks

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