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Diabetic lactic acidosis is tissue hypoxia/metformin causing elevated lactate; severe acidosis; high mortality.
Nausea/vomiting; abdominal pain; tachypnea; altered mental status; shock
Metformin in renal failure; tissue hypoxia; sepsis.
ABCDE; IV fluids; bicarbonate if severe; hemofiltration; treat trigger
Hold metformin in renal failure/hypoxia.
It is recommended to visit the endocrinology department; before the visit you may first book an appointment and connect with experts through this platform.
Warm reminder: The above information is provided for health education reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek care at a regular hospital in time.
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