Abstract
An investigation into B12 absorption in diabetic patients on long-term phenformin therapy was undertaken and the results were compared to a similar investigation previously reported in diabetics on long-term metformin. Forty-six per cent of patients were found to have B12 malabsorption as shown by abnormal results of Schilling tests.
The mechanism of B12 malabsorption is unknown but it is suggested that all patients on long-term phenformin therapy should, like the patients on metformin, have annual serum B12 estimations until the results of a longer follow-up series are known.
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Selected References
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- Beckmann R. Resorption, Verteilung im Organismus und Ausscheidung von Metformin. Diabetologia. 1969 Oct;5(5):318–324. doi: 10.1007/BF00452906. [DOI] [PubMed] [Google Scholar]
- Beckmann R. The fate of biguanides in man. Ann N Y Acad Sci. 1968 Mar 26;148(3):820–832. doi: 10.1111/j.1749-6632.1968.tb27755.x. [DOI] [PubMed] [Google Scholar]
- Berchtold P., Bolli P., Arbenz U., Keiser G. Intestinale Absorptionsstörung infolge Metforminbehandlung (Zur Frage der Wirkungsweise der Biguanide) Diabetologia. 1969 Dec;5(6):405–412. doi: 10.1007/BF00427979. [DOI] [PubMed] [Google Scholar]
- Czyzyk A., Tawecki J., Sadowski J., Ponikowska I., Szczepanik Z. Effect of biguanides on intestinal absorption of glucose. Diabetes. 1968 Aug;17(8):492–498. doi: 10.2337/diab.17.8.492. [DOI] [PubMed] [Google Scholar]
- DELLER D. J., WITTS L. J. Changes in the blood after partial gastrectomy with special reference to vitamin B12. I. Serum vitamin B12, haemoglobin, serum iron, and bone marrow. Q J Med. 1962 Jan;31:71–88. [PubMed] [Google Scholar]
- HERBERT V., BAKER H., FRANK O., PASHER I., SOBOTKA H., WASSERMAN L. R. The measurement of folic acid activity in serum: a diagnostic aid in the differentiation of the megaloblastic anemias. Blood. 1960 Feb;15:228–235. [PubMed] [Google Scholar]
- Hollobaugh S. L., Rao M. B., Kruger F. A. Studies on the site and mechanism of action of phenformin. I. Evidence for significant "nonperipheral" effects of phenformin on glucose metabolism in normal subjects. Diabetes. 1970 Jan;19(1):45–49. doi: 10.2337/diab.19.1.45. [DOI] [PubMed] [Google Scholar]
- Kruger F. A., Altschuld R. A., Hollobaugh S. L., Jewett B. Studies on the site and mechanism of action of phenformin. II. Phenformin inhibition of glucose transport by rat intestine. Diabetes. 1970 Jan;19(1):50–52. doi: 10.2337/diab.19.1.50. [DOI] [PubMed] [Google Scholar]
- Tomkin G. H., Hadden D. R., Weaver J. A., Montgomery D. A. Vitamin-B12 status of patients on long-term metformin therapy. Br Med J. 1971 Jun 19;2(5763):685–687. doi: 10.1136/bmj.2.5763.685. [DOI] [PMC free article] [PubMed] [Google Scholar]
- WATERS A. H., MOLLIN D. L. Studies on the folic acid activity of human serum. J Clin Pathol. 1961 Jul;14:335–344. doi: 10.1136/jcp.14.4.335. [DOI] [PMC free article] [PubMed] [Google Scholar]
