Novel Assay of Metformin Levels in Patients With Type 2 Diabetes and Varying Levels of Renal Function
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...
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Veröffentlicht in: | Diabetes care 2010-06, Vol.33 (6), p.1291-1293 |
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creator | Frid, Anders Sterner, Gunnar N. Löndahl, Magnus Wiklander, Clara Cato, Anne Vinge, Ellen Andersson, Anders |
description | 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, 30-60, and 20 µmol/l. Metformin measurement is less suitable for dose titration. |
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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^sup 2^ body surface. Patients with eGFR >60, 30-60, and <30 ml/min/ 1.7 3 m2 had median trough metformin concentrations of 4.5 µmol/l (range 0.1-20.7, n = 107), 7.71 µmol/l (0.12-15.15, n = 21), and 8.88 µmol/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 µmol/l. Metformin measurement is less suitable for dose titration.</description><identifier>ISSN: 0149-5992</identifier><identifier>EISSN: 1935-5548</identifier><identifier>DOI: 10.2337/dc09-1284</identifier><identifier>CODEN: DICAD2</identifier><language>eng</language><publisher>Alexandria: American Diabetes Association</publisher><subject>Chromatography ; Clinical medicine ; Diabetes ; Studies</subject><ispartof>Diabetes care, 2010-06, Vol.33 (6), p.1291-1293</ispartof><rights>Copyright American Diabetes Association Jun 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c1364-c47b210a576e0a144d683339fa4a41c29c772ba57336c0f25ab926cf86d3b5a13</citedby><cites>FETCH-LOGICAL-c1364-c47b210a576e0a144d683339fa4a41c29c772ba57336c0f25ab926cf86d3b5a13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids></links><search><creatorcontrib>Frid, Anders</creatorcontrib><creatorcontrib>Sterner, Gunnar N.</creatorcontrib><creatorcontrib>Löndahl, Magnus</creatorcontrib><creatorcontrib>Wiklander, Clara</creatorcontrib><creatorcontrib>Cato, Anne</creatorcontrib><creatorcontrib>Vinge, Ellen</creatorcontrib><creatorcontrib>Andersson, Anders</creatorcontrib><title>Novel Assay of Metformin Levels in Patients With Type 2 Diabetes and Varying Levels of Renal Function</title><title>Diabetes care</title><description>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^sup 2^ body surface. Patients with eGFR >60, 30-60, and <30 ml/min/ 1.7 3 m2 had median trough metformin concentrations of 4.5 µmol/l (range 0.1-20.7, n = 107), 7.71 µmol/l (0.12-15.15, n = 21), and 8.88 µmol/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 µmol/l. 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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^sup 2^ body surface. Patients with eGFR >60, 30-60, and <30 ml/min/ 1.7 3 m2 had median trough metformin concentrations of 4.5 µmol/l (range 0.1-20.7, n = 107), 7.71 µmol/l (0.12-15.15, n = 21), and 8.88 µmol/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 µmol/l. Metformin measurement is less suitable for dose titration.</abstract><cop>Alexandria</cop><pub>American Diabetes Association</pub><doi>10.2337/dc09-1284</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Chromatography Clinical medicine Diabetes Studies |
title | Novel Assay of Metformin Levels in Patients With Type 2 Diabetes and Varying Levels of Renal Function |
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