1. Evaluation of vitamin B12 monitoring in patients on metformin in urban ambulatory care settings
- Author
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Longo SL, Ryan JM, Sheehan KB, Reid DJ, Conley MP, and Bouwmeester CJ
- Subjects
Vitamin B 12 ,Vitamin B 12 Deficiency ,Metformin ,Diabetes Mellitus Type 2 ,Quality of Health Care ,Health Knowledge Attitudes Practice ,Prevalence ,Retrospective Studies ,United States ,Therapeutics. Pharmacology ,RM1-950 ,Pharmacy and materia medica ,RS1-441 - Abstract
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 (
- Published
- 2019
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