دورية أكاديمية

Vitamin B 12 deficiency in diabetic patients treated with metformin: A narrative review.

التفاصيل البيبلوغرافية
العنوان: Vitamin B 12 deficiency in diabetic patients treated with metformin: A narrative review.
المؤلفون: Al Zoubi MS; Department of Basic Medical Sciences, Faculty of Medicine, Yarmouk University, Irbid, 211-63, Jordan., Al Kreasha R; Department of Basic Medical Sciences, Faculty of Medicine, Yarmouk University, Irbid, 211-63, Jordan., Aqel S; Department of Basic Medical Sciences, Faculty of Medicine, Yarmouk University, Irbid, 211-63, Jordan., Saeed A; Department of Basic Medical Sciences, Faculty of Medicine, Yarmouk University, Irbid, 211-63, Jordan., Al-Qudimat AR; Surgical Research Section, Department of Surgery, Hamad Medical Corporation, 3050, Doha, Qatar., Al-Zoubi RM; Surgical Research Section, Department of Surgery, Hamad Medical Corporation, 3050, Doha, Qatar. ralzoubi@hamad.qa.; Department of Biomedical Sciences, College of Health Sciences, QU-Health, Qatar University, Doha, 2713, Qatar. ralzoubi@hamad.qa.; Department of Chemistry, Jordan University of Science and Technology, P.O.Box 3030, Irbid, 22110, Jordan. ralzoubi@hamad.qa.
المصدر: Irish journal of medical science [Ir J Med Sci] 2024 Feb 21. Date of Electronic Publication: 2024 Feb 21.
Publication Model: Ahead of Print
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Royal Academy of Medicine of Ireland Country of Publication: Ireland NLM ID: 7806864 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1863-4362 (Electronic) Linking ISSN: 00211265 NLM ISO Abbreviation: Ir J Med Sci Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Dublin : Royal Academy of Medicine of Ireland
مستخلص: Metformin is the most prescribed oral hypoglycemic drug and is considered by many health practitioners as the first-line treatment for non-insulin-dependent diabetes mellitus (T2DM). It is used either as a monotherapy or adjuvant to other anti-hyperglycemic agents. Most of its side effects are usually mild and self-limiting. However, several studies have shown an association between the use of metformin and low vitamin B 12 levels in diabetic patients. The current review aimed to provide a literature review of the current published reports on the association, the possible mechanisms, and the related individualized risk factors that might lead to this incidence. The most accepted mechanism of the effect of metformin on vitamin B 12 level is related to the absorption process where metformin antagonism of the calcium cation and interference with the calcium-dependent IF-vitamin B 12 complex binding to the ileal cubilin receptor. In addition, many risk factors have been associated with the impact of metformin on vitamin B 12 levels in diabetic patients such as dose and duration where longer durations showed a greater prevalence of developing vitamin B 12 deficiency. Male patients showed lower levels of vitamin B 12 compared to females. Black race showed a lower prevalence of vitamin B 12 deficiency in metformin-treated patients. Moreover, chronic diseases including T2DM, hyperlipidemia, coronary artery disease, polycystic ovary disease (PCOD), obesity, and metformin therapy were significantly associated with increased risk of vitamin B 12 deficiency.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: B12 deficiency; Diabetes mellitus; Metformin; T2DM
تواريخ الأحداث: Date Created: 20240221 Latest Revision: 20240221
رمز التحديث: 20240221
DOI: 10.1007/s11845-024-03634-4
PMID: 38381379
قاعدة البيانات: MEDLINE
الوصف
تدمد:1863-4362
DOI:10.1007/s11845-024-03634-4