Acute renal failure and metformin-associated lactic acidosis following colonoscopy

作者：Hussain Mohammad I^*; Hall Bruce M; Depczynski Barbara; Connor Susan J

来源：Diabetes Research and Clinical Practice, 2014, 105(1): E6-E8.

DOI：10.1016/j.diabres.2013.12.055

• Acute renal failure (ARF)
• Metformin
• Lactic acidosis
• Colonoscopy
• ACEI or ARB

Two patients with type 2 DM developed acute kidney injury and lactic acidosis following colonoscopy despite withholding metformin. We recommend that DM patients on metformin also withhold ACEI, ARB until their dehydration is reversed after colonoscopy. This should reduce the risk of acute renal failure (ARF) and of lactic acidosis.

• 出版日期2014-7