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

Menzies 1989

Methods

TRIAL DESIGN: Prospective cohort study DURATION: 3 months

Participants

COUNTRY: United Kingdom SETTING: outpatient Treatment N: 64 Control N: 0 AGE: 64+/-9 SEX: 41% men INCLUSION: obese patients with type 2 DM EXCLUSIONS: ketosis, or abnormal electrolytes or renal function

Interventions

TREATMENT: Metformin 1.5-2 g/day or 2.5-3 g/day COMPARISON: none

Outcomes

Plasma glucose, HbA1, and lactate.

Notes Allocation concealment

D

Study

Moses 1999a

Methods

TRIAL DESIGN: Double-blind randomised controlled trial DURATION: 22 weeks

Participants

COUNTRY: Australia SETTING: outpatient Treatment N: 54 Control N: 28 Treatment AGE: 57.8 Control AGE: 60.3 Treatment SEX: 63% men Control SEX: 54% men INCLUSION: Type 2 DM with poor control on metformin EXCLUSIONS: clincally significant renal insufficiency, abnormal liver functions, cardiac diasease, history of lactic acidosis

Interventions

TREATMENT: Metformin, dosage adjusted clinically, + placebo; or metformin + repaglinide COMPARISON: repaglinide + placebo

Outcomes

Fasting glucose, and HbA1.

Notes Allocation concealment

D

Study

Munk 1975

Methods

TRIAL DESIGN: Open-label comparative trial TRIAL DURATION: 6 months

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