New Drug Update 2010-2011 Faculty Disclaimer - CME Conferences
New Drug Update 2010-2011 Faculty Disclaimer - CME Conferences
New Drug Update 2010-2011 Faculty Disclaimer - CME Conferences
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2 nd Annual Essentials in Primary Care<br />
Fall Conference<br />
Friday, November 11, <strong>2011</strong><br />
Proposed Recommendations for Use of<br />
Metformin Based on e-GFR<br />
Diabetes Care <strong>2011</strong>;34:1435<br />
eGFR (ml/min per 1.73m2)<br />
Action<br />
>60 No renal contraindication to metformin<br />
>45 Continue use<br />
Increase monitoring of renal function (every 3–6<br />
months)<br />
30 Prescribe metformin with caution<br />
Use lower dose (e.g., 50%, or half-maximal dose)<br />
Closely monitor renal function (every 3-6 months) Do<br />
not start new patients on metformin<br />
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