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The British Journal of Diabetes & Vascular Disease
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Exercise, metformin and hypoglycaemia: a neglected entity

Abdullah Omari

Diabetes Centre and Department of Endocrinology, Royal Prince Alfred Hospital, Missenden Road, Camperdown NSW 2005, Australia

Dennis K Yue

Diabetes Centre and Department of Endocrinology, Royal Prince Alfred Hospital, Missenden Road, Camperdown NSW 2005, Australia, Discipline of Medicine, University of Sydney, NSW 2006, Australia

Stephen M Twigg

Diabetes Centre and Department of Endocrinology, Royal Prince Alfred Hospital, Missenden Road, Camperdown NSW 2005, Australia, stwigg{at}med.usyd.edu.au, Discipline of Medicine, University of Sydney, NSW 2006, Australia

We describe a case of hypoglycaemia induced by exercise in a patient with type 2 diabetes taking metformin, who was not taking insulin or sulphonylurea medication. The hypoglycaemia resolved after the dosage of metformin was reduced, despite increased physical activity. A brief review of the literature identifying the frequency of and risk factors for hypoglycaemia during treatment with metformin is discussed.

The British Journal of Diabetes & Vascular Disease, Vol. 5, No. 2, 106-108 (2005)
DOI: 10.1177/14746514050050021001
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