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Novel assay of metformin levels in patients with type 2 diabetes and varying levels of renal function: clinical recommendations.


ABSTRACT: To study trough levels of metformin in serum and its intra-individual variation in patients using a newly developed assay.Trough serum levels of metformin were measured once using liquid chromatography-tandem mass spectrometry (LCMSMS) in 137 type 2 diabetic patients with varying renal function (99 men) and followed repeatedly during 2 months in 20 patients (16 men) with estimated glomerular filtration rate (eGFR) <60 ml/min/1.73 m(2) body surface.Patients with eGFR >60, 30-60, and <30 ml/min/1.73 m(2) had median trough metformin concentrations of 4.5 micromol/l (range 0.1-20.7, n = 107), 7.71 micromol/l (0.12-15.15, n = 21), and 8.88 micromol/l (5.99-18.60, n = 9), respectively. The median intra-individual overall coefficient of variation was 29.4% (range 9.8-74.2).Determination of serum metformin with the LCMSMS technique is useful in patients on metformin treatment. Few patients had values >20 micromol/l. Metformin measurement is less suitable for dose titration.

SUBMITTER: Frid A 

PROVIDER: S-EPMC2875440 | biostudies-literature | 2010 Jun

REPOSITORIES: biostudies-literature

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Novel assay of metformin levels in patients with type 2 diabetes and varying levels of renal function: clinical recommendations.

Frid Anders A   Sterner Gunnar N GN   Löndahl Magnus M   Wiklander Clara C   Cato Anne A   Vinge Ellen E   Andersson Anders A  

Diabetes care 20100309 6


<h4>Objective</h4>To study trough levels of metformin in serum and its intra-individual variation in patients using a newly developed assay.<h4>Research design and methods</h4>Trough serum levels of metformin were measured once using liquid chromatography-tandem mass spectrometry (LCMSMS) in 137 type 2 diabetic patients with varying renal function (99 men) and followed repeatedly during 2 months in 20 patients (16 men) with estimated glomerular filtration rate (eGFR) <60 ml/min/1.73 m(2) body su  ...[more]

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