Metformin
Abstract
Metformin (dimethylbiguanide) is an orally administered drug used to lower blood glucose concentrations in patients with non-insulin-dependent diabetes mellitus (NIDDM).1 It improves insulin sensitivity and thus decreases the insulin resistance that is prevalent in NIDDM. The efficacy of glycemic control achieved with metformin is similar to that achieved with sulfonylureas, although their modes of action differ. Metformin can be used either as initial therapy or as an additional drug when sulfonylurea therapy alone is inadequate. In this article we shall discuss the pharmacology and clinical use of metformin, which is now available in the United States.The Burden of Non-Insulin-Dependent . . .
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Metformin interferes with vitamin B12 absorption but is very rarely associated with anemia.
“Metformin interferes with vitamin B12 absorption but is very rarely associated with anemia (27).”
From Medical Management of Hyperglycemia in Type 2 Diabetes: A Consensus Algorithm for the Initiation and Adjustment of Therapy (2009) · cites this paper as [27]
Typically, metformin monotherapy will lower A1C levels by approximately 1.5 percentage points.
“Typically, metformin monotherapy will lower A1C levels by ∼1.5 percentage points (27,49).”
From Medical Management of Hyperglycemia in Type 2 Diabetes: A Consensus Algorithm for the Initiation and Adjustment of Therapy (2009) · cites this paper as [27]
Metformin has recently been reported to have antioxidant effects in addition to known favorable effects on circulating lipids and FFAs.
“In fact, metformin has recently been reported to have antioxidant effects (34) in addition to the known favorable effects on circulating lipids (10) and FFAs (35).”
From Improved Endothelial Function With Metformin in Type 2 Diabetes Mellitus (2001) · cites this paper as [10]
Metformin reduces whole-body insulin resistance.
“Its mechanism of action is poorly understood, but includes a reduction in wholebody IR (10).”
From Improved Endothelial Function With Metformin in Type 2 Diabetes Mellitus (2001) · cites this paper as [10]
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origins of type 2 diabetes medications
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- Authors
- Bailey, C. J., & Turner, R. C.
- Affiliations
- Aston University (GB)
- University of Oxford (GB)
- ORCID
- Bailey, Clifford J.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1996-02-29
- Volume
- 334
- Issue
- 9
- Pages
- 574-579
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W4245367233
- Cited by
- 1,726
- References
- 57
- Citations by year
- 2026: 29 · 2025: 44 · 2024: 43 · 2023: 46 · 2022: 53 · 2021: 47 · 2020: 57 · 2019: 64 · 2018: 74 · 2017: 63 · 2016: 67 · 2015: 99 · 2014: 84 · 2013: 83 · 2012: 103
- FWCI
- 8.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- metformin, type 2 diabetes, glycemic control, insulin sensitivity, insulin resistance, sulfonylureas, oral antidiabetic drugs
- MeSH terms
- Acidosis, Lactic, Diabetes Mellitus, Type 2, Drug Therapy, Combination, Humans, Hypoglycemic Agents, Metformin, Sulfonylurea Compounds
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