Novel Assay of Metformin Levels in Patients With Type 2 Diabetes and Varying Levels of Renal Function

Abstract
OBJECTIVE: To study trough levels of metformin in serum and its intra-individual variation in patients using a newly developed assay. RESEARCH DESIGN AND METHODS: Trough serum levels of metformin were measured once using liquid chromatography–tandem mass spectrometry (LCMSMS) in 137 type 2 diabetic patients with varying renal function (99 men) and followed repeatedly during 2 months in 20 patients (16 men) with estimated glomerular filtration rate (eGFR) 60, 30–60, and 20 μmol/l. Metformin measurement is less suitable for dose titration.