Hypoglycaemia followed by lactic acidosis in a diabetic patient on metformin

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A 71-year-old woman with a nine-year history of type 2 diabetes was admitted with hypoglycaemia, acute renal failure, and lactic acidosis. She was treated with fluids and antibiotics for presumed infection, and metformin was discontinued.Metformin-associated lactic acidosis is a rare consequence of metformin therapy and, as in this case report, there are often other factors contributing to the lactic acidosis.

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