Research Article

Lactic Acidosis in Diabetic Population: Is Metformin Implicated? Results of a Matched Case-Control Study Performed on the Type 2 Diabetes Population of Grenoble Hospital University

Table 1

Demographic characteristics and comparative analysis of covariates ().

Cases ()Controls () value
(%)(%)

Demographic characteristics
 Age, mean (SD)69.4 (11.90)69.5 (11.90)0.714
 Male177(58.6)354(58.6)1
Chronic medical conditions
 CKD 95(31.5)224(37.1)0.094
  Mild-moderate66(21.9)184(30.5)0.013
  Severe-end stage29(9.6)40(6.3)
 Hepatocellular dysfunction47(15.6)39(6.5)<0.001
 Chronic respiratory failure84(27.8)127(21.0)0.023
 Heart failure82(27.2)94(15.6)<0.001
 Mitochondrial dysfunction2(0.7)0(0)0.111
 Neoplasia38(12.6)81(13.4)0.728
 Pyridoxine deficit3(1.0)13(2.2)0.288
Concomitant therapies
 ACE inhibitors 81(26.8)186(30.8)0.216
 ARA65(21.5)155(25.7)0.171
 Diuretics150(49.7)321(53.2)0.323
 ARV1(0.3)5(0.8)0.670
 NSAID14(4.6)12(2.0)0.024
 Metformin111(36.8)276(45.7)0.010
 Insulin129(42.7)268(44.4)0.636
 Iodinated CM37(12.3)17 (2.8)<0.001
Intercurrent diseases
 Shock 149(49.3)8(1.3)<0.001
 Severe anemia57(18.9)19(3.2)<0.001
 Dehydration35(11.6)17 (2.8)<0.001
 AKI184(60.9)80(13.3)<0.001
 Acute hepatic failure64(21.2)12(2.0)<0.001
 Acute respiratory failure156(51.7)41(6.8)<0.001
 Myocardial infarction32(10.6)16(2.7)<0.001
 Acute decompensated heart failure130(43.1)45(7.5)<0.001
 Sepsis134(44.4)49(8.1)<0.001
 Convulsions21(7.0)8(1.3)<0.001
 Intense muscle effort6(2.0)00.001
 Acute artery occlusion30(9.9)28 (4.6)0.002
Death146(48.3)26(4.3)<0.001