Evaluation of vitamin B12 monitoring in patients on metformin in urban ambulatory care settings
| Autor: | Longo SL, Ryan JM, Sheehan KB, Reid DJ, Conley MP, Bouwmeester CJ |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | Pharmacy Practice, Vol 17, Iss 3, p 1499 (2019) |
| Druh dokumentu: | article |
| ISSN: | 1885-642X 1886-3655 |
| DOI: | 10.18549/PharmPract.2019.3.1499 |
| Popis: | Background: Previous studies linked metformin use to vitamin B12 deficiency and demonstrated that the prevalence of vitamin B12 monitoring remains low. Objective: This study aimed to assess the occurrence of monitoring vitamin B12 levels in a diverse population. Methods: This was a retrospective chart review of adult patients with type 2 diabetes on metformin doses ≥ 1000 mg for ≥ 6 months at five Federally Qualified Health Centers (FQHC) and one Program of All-Inclusive Care for the Elderly (PACE). Charts were reviewed for occurrence of monitoring vitamin B12 levels in the past 5 years. Data collected included patient demographics, laboratory data, other potential vitamin B12 level lowering agents, active prescription for vitamin B12 supplementation, concomitant diabetes medications and metformin total daily dose. Results: Of the 322 patients included, 25% had a vitamin B12 level measured in the previous five years. Among the patients with a vitamin B12 level, 87.7% were within the normal range (>350 pg/mL), 11.1% were low (200-300 pg/mL), and only one patient (1.2%) was deficient ( |
| Databáze: | Directory of Open Access Journals |
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