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5 mmol/Literanion gap acidosiswithout evidence of ketonuria or ketonemiaan increased lactate/pyruvate ratioand metformin plasma levels generally5 mcg/mLsee PRECAUTIONS

Diabetes insipidus is a condition in which the patient has frequent urinationSymptoms of diabetes insipidus include irritable.

In controlled clinical trials with metformin of 29 weeks durationa decrease to subnormal levels of previously normal serum vitamin B 12without clinical manifestationswas observed in approximately 7of patientsSuch decreasepossibly due to interference with B 12 absorption from the B 12intrinsic factor complex ishoweververy rarely associated with anemia and appears to be rapidly reversible with discontinuation of metformin or vitamin B 12 supplementationMeasurement of hematologic parameters on an annual basis is advised in patients on metformin and any apparent abnormalities should be appropriately investigated and managedsee PRECAUTIONS:Laboratory Tests

Metabolic acidosis or diabetic ketoacidosiscall your doctor for treatmentor.

Diabetes is a disease where your body does not make enough insulin or does not use insulin correctlyand you blood sugar.

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