What is metformin associated lactic acidosis?
What is metformin associated lactic acidosis? Metformin associated lactic acidosis (MALA) is defined as a lactic acidosis in a patient with documented regular intake of metformin as well as comorbid conditions that increase the risk of lactic acidosis such as heart failure and kidney disease [14]. How is metformin associated lactic acidosis diagnosed? Lactic acidosis resulting from metformin toxicity should be suspected in any patient who has all of the following five criteria: (1) a history of metformin administration; (2) a markedly elevated lactate level (> 15 mmol/L) with a large anion gap (> 20 mmol/L); (3) severe acidemia (pH...