Page last updated: 2024-10-30

metformin and Anemia

metformin has been researched along with Anemia in 16 studies

Metformin: A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289)
metformin : A member of the class of guanidines that is biguanide the carrying two methyl substituents at position 1.

Anemia: A reduction in the number of circulating ERYTHROCYTES or in the quantity of HEMOGLOBIN.

Research Excerpts

ExcerptRelevanceReference
"This retrospective cohort study determines whether metformin monotherapy or combination therapies can decrease anemia risk in the progress of advanced chronic kidney disease for patients with type 2 diabetes mellitus."8.12Metformin and the Risk of Anemia of Advanced Chronic Kidney Disease in Patients With Type 2 Diabetes Mellitus. ( Fu, SL; Hsiung, CA; Jung, HK; Lai, JN; Liu, HY; Tsai, YT; Wu, CT, 2022)
"To evaluate the association between metformin use and anemia risk in type 2 diabetes, and the time-course for this, in a randomized controlled trial (RCT) and real-world population data."7.96Risk of Anemia With Metformin Use in Type 2 Diabetes: A MASTERMIND Study. ( Coleman, RL; Dennis, JM; Donnelly, LA; Hattersley, AT; Holman, RR; Pearson, ER; Sattar, N, 2020)
"Long-term use of metformin in DPPOS was associated with biochemical B12 deficiency and anemia."5.22Long-term Metformin Use and Vitamin B12 Deficiency in the Diabetes Prevention Program Outcomes Study. ( Aroda, VR; Bray, GA; Crandall, JP; Edelstein, SL; Goldberg, RB; Knowler, WC; Marcovina, SM; Orchard, TJ; Schade, DS; Temprosa, MG; White, NH, 2016)
"This retrospective cohort study determines whether metformin monotherapy or combination therapies can decrease anemia risk in the progress of advanced chronic kidney disease for patients with type 2 diabetes mellitus."4.12Metformin and the Risk of Anemia of Advanced Chronic Kidney Disease in Patients With Type 2 Diabetes Mellitus. ( Fu, SL; Hsiung, CA; Jung, HK; Lai, JN; Liu, HY; Tsai, YT; Wu, CT, 2022)
"To evaluate the association between metformin use and anemia risk in type 2 diabetes, and the time-course for this, in a randomized controlled trial (RCT) and real-world population data."3.96Risk of Anemia With Metformin Use in Type 2 Diabetes: A MASTERMIND Study. ( Coleman, RL; Dennis, JM; Donnelly, LA; Hattersley, AT; Holman, RR; Pearson, ER; Sattar, N, 2020)
"Nondiabetic patients with LAHNSCC were enrolled in the current study to receive escalating doses of metformin and CRT based on the modified toxicity probability interval design."2.94Phase 1 dose-finding study of metformin in combination with concurrent cisplatin and radiotherapy in patients with locally advanced head and neck squamous cell cancer. ( Desai, J; Desai, PB; Gulati, S; Gutkind, JS; Jandarov, R; Mierzwa, M; Molinolo, A; Morris, JC; Palackdharry, SM; Riaz, MK; Sadraei, NH; Takiar, V; Wise-Draper, TM; Zhu, Z, 2020)
"Metformin can cause serum vitamin B12 deficiency, but studies on the influence of its duration and dose are lacking."1.51Association between metformin dose and vitamin B12 deficiency in patients with type 2 diabetes. ( Ahn, CW; Fang, S; Kim, J; Lee, HS; Park, JS, 2019)
"During eight weeks all patients with type 2 diabetes visiting the diabetic outpatient clinic of the Isala Clinics in Zwolle were approached for participation."1.39Vitamin B12 deficiency and the lack of its consequences in type 2 diabetes patients using metformin. ( Bilo, HJ; de Groot-Kamphuis, DM; Groenier, KH; Houweling, ST; Kleefstra, N; van Dijk, PR, 2013)

Research

Studies (16)

TimeframeStudies, this research(%)All Research%
pre-19902 (12.50)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's9 (56.25)24.3611
2020's5 (31.25)2.80

Authors

AuthorsStudies
Wu, CT1
Tsai, YT1
Jung, HK1
Fu, SL1
Hsiung, CA1
Liu, HY1
Lai, JN1
Gulati, S1
Desai, J1
Palackdharry, SM1
Morris, JC1
Zhu, Z1
Jandarov, R1
Riaz, MK1
Takiar, V1
Mierzwa, M1
Gutkind, JS1
Molinolo, A1
Desai, PB1
Sadraei, NH1
Wise-Draper, TM1
Kim, J1
Ahn, CW1
Fang, S1
Lee, HS1
Park, JS1
Donnelly, LA1
Dennis, JM1
Coleman, RL1
Sattar, N1
Hattersley, AT1
Holman, RR1
Pearson, ER1
Attiya, N1
Aung, TKK1
Chuah, TY1
Chua, MWJ1
Yang, W1
Cai, X1
Wu, H1
Ji, L1
de Groot-Kamphuis, DM1
van Dijk, PR1
Groenier, KH1
Houweling, ST1
Bilo, HJ1
Kleefstra, N1
Weinrauch, LA1
D'Elia, JA1
Finn, P1
Lewis, EF1
Desai, AS1
Claggett, BL1
Cooper, ME1
McGill, JB1
Aroda, VR1
Edelstein, SL1
Goldberg, RB1
Knowler, WC1
Marcovina, SM1
Orchard, TJ1
Bray, GA1
Schade, DS1
Temprosa, MG1
White, NH1
Crandall, JP1
Esteban Jiménez, O1
González Rubio, F1
Buñuel Granados, JM1
Navarro Pemán, C1
Hidalgo, SF1
Prieto de Paula, JM1
Salado Valdivieso, I1
Trask, LE1
Abbott, D1
Lee, HK1
Pierce, SA1
Chung, AH1
Black, KK1
Marquié, G1
Agid, R1
Harris, EL1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Diabetes Prevention Program Outcomes Study[NCT00038727]Phase 32,779 participants (Actual)Interventional2002-09-30Active, not recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Development of Diabetes.

Primary outcome for years 2002-2008 defined according to American Diabetes Association criteria (fasting plasma glucose level >= 126 mg/dL [7.0 mmol/L] or 2-hour plasma glucose >= 200 mg/dL [11.1 mmol/L], after a 75 gram oral glucose tolerance test (OGTT), and confirmed with a repeat test). (NCT00038727)
Timeframe: Outcomes were assessed from 1996-2008 (approximately 12 years including 6 years of DPP).

Interventiondiabetes incidence (cases per 100 person (Number)
1 Original Lifestyle5.3
2 Original Metformin6.4
3 Original Placebo7.8

Mortality

All cause-mortality through clinic reports and National Death Index search (NCT00038727)
Timeframe: Outcomes were assessed throughout follow-up from 1996 to 2022. National Death Index search conducted in 2019 using early release data as of Dec 2018.

InterventionParticipants (Count of Participants)
1 Original Lifestyle158
2 Original Metformin152
3 Original Placebo143

Prevalence of Aggregate Microvascular Complication

Aggregate microvascular disease is defined as the average prevalence of 3 components: (1) retinopathy measured by photography (ETDRS of 20 or greater); (2) neuropathy detected by Semmes Weinstein 10 gram monofilament, and (3) nephropathy based on estimated glomerular filtration rate (eGFR by chronic kidney disease (CKD-Epi) equation ) (<45 ml/min, confirmed) and albumin-to-creatinine ratio in spot urine (> 30mg/gm, confirmed). (NCT00038727)
Timeframe: Outcomes were assessed from 2012-2013 (approximately 2 years).

Interventionaverage percentage of participants (Number)
1 Original Lifestyle11.3
2 Original Metformin13
3 Original Placebo12.4

Subclinical Atherosclerosis

Measured using coronary artery calcification (CAC). (NCT00038727)
Timeframe: Outcomes were assessed from 2012-2013 (approximately 2 years).

,,
InterventionCAC geometric mean in AU (Geometric Mean)
MenWomen
1 Original Lifestyle70.16.0
2 Original Metformin40.26.1
3 Original Placebo63.75.3

Reviews

1 review available for metformin and Anemia

ArticleYear
Associations between metformin use and vitamin B
    Journal of diabetes, 2019, Volume: 11, Issue:9

    Topics: Anemia; Case-Control Studies; Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Metformin; Per

2019

Trials

3 trials available for metformin and Anemia

ArticleYear
Phase 1 dose-finding study of metformin in combination with concurrent cisplatin and radiotherapy in patients with locally advanced head and neck squamous cell cancer.
    Cancer, 2020, 01-15, Volume: 126, Issue:2

    Topics: Acute Kidney Injury; Aged; Anemia; Antineoplastic Combined Chemotherapy Protocols; Chemoradiotherapy

2020
Strategies for glucose control in a study population with diabetes, renal disease and anemia (Treat study).
    Diabetes research and clinical practice, 2016, Volume: 113

    Topics: Aged; Anemia; Australia; Blood Glucose; Diabetes Mellitus, Type 2; Europe; Female; Humans; Hypoglyce

2016
Long-term Metformin Use and Vitamin B12 Deficiency in the Diabetes Prevention Program Outcomes Study.
    The Journal of clinical endocrinology and metabolism, 2016, Volume: 101, Issue:4

    Topics: Adult; Aged; Anemia; Diabetes Mellitus, Type 2; Female; Homocysteine; Humans; Hypoglycemic Agents; M

2016

Other Studies

12 other studies available for metformin and Anemia

ArticleYear
Metformin and the Risk of Anemia of Advanced Chronic Kidney Disease in Patients With Type 2 Diabetes Mellitus.
    Journal of clinical pharmacology, 2022, Volume: 62, Issue:2

    Topics: Adult; Age Factors; Aged; Anemia; Diabetes Mellitus, Type 2; Drug Therapy, Combination; Female; Hemo

2022
Association between metformin dose and vitamin B12 deficiency in patients with type 2 diabetes.
    Medicine, 2019, Volume: 98, Issue:46

    Topics: Age Factors; Aged; Alcohol Drinking; Anemia; Cross-Sectional Studies; Diabetes Mellitus, Type 2; Dos

2019
Risk of Anemia With Metformin Use in Type 2 Diabetes: A MASTERMIND Study.
    Diabetes care, 2020, Volume: 43, Issue:10

    Topics: Adult; Aged; Anemia; Datasets as Topic; Diabetes Mellitus, Type 2; Female; Glycated Hemoglobin; Huma

2020
[Oral diagnosis of vitamin B12 deficiency due to long-term metformin treatment: a case report].
    The Pan African medical journal, 2020, Volume: 37

    Topics: Aged; Anemia; Diabetes Mellitus; Diagnosis, Oral; Female; Glossitis; Humans; Hypoglycemic Agents; Me

2020
More Than Meets the Eye: A Patient with Hand Swelling and Newly Diagnosed Diabetes Mellitus.
    The American journal of medicine, 2021, Volume: 134, Issue:11

    Topics: Aged; Amlodipine; Anemia; Antihypertensive Agents; Blood Sedimentation; C-Reactive Protein; Diabetes

2021
Vitamin B12 deficiency and the lack of its consequences in type 2 diabetes patients using metformin.
    The Netherlands journal of medicine, 2013, Volume: 71, Issue:7

    Topics: Aged; Anemia; Cross-Sectional Studies; Diabetes Mellitus, Type 2; Erythrocyte Indices; Female; Hemog

2013
[Vitamin B12 deficiency secondary to metformin therapy].
    Medicina clinica, 2010, Jul-17, Volume: 135, Issue:6

    Topics: Aged; Anemia; Diabetes Mellitus, Type 2; Drug Synergism; Female; Folic Acid; Humans; Hyperhomocystei

2010
[Metformin and vitamin B12 deficiency].
    Medicina clinica, 2010, Jul-17, Volume: 135, Issue:6

    Topics: Aged; Anemia; Female; Folic Acid; Humans; Hyperhomocysteinemia; Hypoglycemic Agents; Intestinal Abso

2010
Low hemoglobin A(1c)--good diabetic control?
    Clinical chemistry, 2012, Volume: 58, Issue:3

    Topics: Anemia; Diabetes Mellitus, Type 2; Erythropoietin; Female; Glycated Hemoglobin; Hepatitis C; Humans;

2012
Evaluation of vitamin B12 monitoring in a veteran population on long-term, high-dose metformin therapy.
    The Annals of pharmacotherapy, 2012, Volume: 46, Issue:11

    Topics: Anemia; Diabetes Mellitus, Type 2; Diabetic Neuropathies; Drug Monitoring; Humans; Hypoglycemic Agen

2012
[Effects of antidiabetic biguanides on various types of lipid mobilization in the rabbit].
    Journal de physiologie, 1973, Volume: 66, Issue:3

    Topics: Adrenalectomy; Anemia; Animals; Bloodletting; Cholesterol; Ethyl Ethers; Fatty Acids; Fatty Acids, N

1973
Adverse reactions to oral antidiabetic agents.
    British medical journal, 1971, Jul-03, Volume: 3, Issue:5765

    Topics: Acetohexamide; Acidosis; Administration, Oral; Anemia; Chlorpropamide; Drug Antagonism; Drug Synergi

1971