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Risk of metformin use in patients with T2DM and advanced CKD

In a new study published in The Lancet Diabetes & Endocrinology, metformin use is associated with significantly increased all-cause mortality in patients with type 2 diabetes mellitus and stage 5 chronic kidney disease (CKD). The findings support current recommendations that metformin should not be used in patients with stage 5 CKD.

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Correspondence to Guntram Schernthaner.

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Competing interests

G.S. has served on advisory boards for Astra Zeneca, Boehringer Ingelheim, Bristol–Myers Squibb, Eli Lilly, Johnston & Johnston and Takeda, and has served as a speaker for Astra Zeneca, Boehringer Ingelheim, Bristol–Myers Squibb, Eli Lilly, Merck, Novo Nordisk, Sanofi and Takeda. M.H.S.-R. declares no competing interests.

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Schernthaner, G., Schernthaner-Reiter, M. Risk of metformin use in patients with T2DM and advanced CKD. Nat Rev Endocrinol 11, 697–699 (2015). https://doi.org/10.1038/nrendo.2015.132

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