Phenformin, Hypoglycemia and Lactic Acidosis

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Abstract
ALTHOUGH phenformin therapy has been associated with lactic acidosis,1 2 3 4 5 6 hypoxemia or circulatory failure, either of which can cause this syndrome, has usually been present. To date there are no specific reports of hypoglycemia secondary to the use of phenformin although the presence of hypoglycemia was simply mentioned in 1 of the case histories of lactic acidosis.5 The purpose of this paper is to describe hypoglycemia and probable lactic acidosis after ingestion of phenformin∥ in an attempted suicide.Case ReportA 44-year-old married woman was admitted to the emergency ward of King County Hospital after a seizure. She was unresponsive, with . . .