Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2017:2017:2452853.
doi: 10.1155/2017/2452853. Epub 2017 Aug 27.

Perspectives on Peripheral Neuropathy as a Consequence of Metformin-Induced Vitamin B12 Deficiency in T2DM

Affiliations
Review

Perspectives on Peripheral Neuropathy as a Consequence of Metformin-Induced Vitamin B12 Deficiency in T2DM

Marwan A Ahmed et al. Int J Endocrinol. 2017.

Abstract

Peripheral neuropathy (PN) is a primary complication of type 2 diabetes mellitus (T2DM) and a direct manifestation of vitamin B12 deficiency. Examining the effects of metformin use on PN status became imperative following clinical studies that showed the vitamin B12-lowering effect of the medication. The complexity of the topic and the inconsistency of the results warrant consideration of topic-specific perspectives for better understanding of the available evidence and more appropriate design of future studies.

PubMed Disclaimer

References

    1. Tesfaye S., Boulton A. J., Dyck P. J., et al. Diabetic neuropathies: update on definitions, diagnostic criteria, estimation of severity, and treatments. Diabetes Care. 2010;33(10):2285–2293. doi: 10.2337/dc10-1303. - DOI - PMC - PubMed
    1. Candrilli S. D., Davis K. L., Kan H. J., Lucero M. A., Rousculp M. D. Prevalence and the associated burden of illness of symptoms of diabetic peripheral neuropathy and diabetic retinopathy. Journal of Diabetes and Its Complications. 2007;21(5):306–314. - PubMed
    1. Gordois A., Scuffham P., Shearer A., Oglesby A., Tobian J. A. The health care costs of diabetic peripheral neuropathy in the US. Diabetes Care. 2003;26(6):1790–1795. - PubMed
    1. de Jager J., Kooy A., Lehert P., et al. Long term treatment with metformin in patients with type 2 diabetes and risk of vitamin B-12 deficiency: randomised placebo controlled trial. British Medical Journal. 2010;340, article c2181 - PMC - PubMed
    1. Ting R. Z., Szeto C. C., Chan M. H., Ma K. K., Chow K. M. Risk factors of vitamin B12 deficiency in patients receiving metformin. Archives of Internal Medicine. 2006;166(18):1975–1979. - PubMed

LinkOut - more resources