Situation: An elderly obese diabetic was put on metformin therapy.
Dr. Good: It cannot be prescribed to the elderly.
Dr. Bad Continue it.
Lesson: For elderly patients who do not have contraindication to metformin (severe renal impairment or heart failure), one should initiate therapy with metformin.
(American Geriatric Society, American Diabetes Association, European Diabetes working Party and Guidelines)
Dr. Good: It cannot be prescribed to the elderly.
Dr. Bad Continue it.
Lesson: For elderly patients who do not have contraindication to metformin (severe renal impairment or heart failure), one should initiate therapy with metformin.
(American Geriatric Society, American Diabetes Association, European Diabetes working Party and Guidelines)
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