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Revisiting borderline deficiency of Vitamin B12 in diabetics on Metformin to analyze therapeutic features and propose personalized supplementation. Assessment of factors affecting absorption and cellular action for efficient treatment.
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There has been no consensus concerning supplementation of vitamin B12 Borderline deficiency (BDVB12) whose definition has recently been revisited, especially in diabetics under Metformin. Because the mechanism is yet to be understood, probably intricate patient-related factors and to his treatment. The objective of this study is to analyze the therapeutic features of BDVB12 which offer a clearer view of absorption and cellular action of vitamin B12 and allows to propose a therapeutic algorithm taking into account all this parameters Introduction Objectif: Therapeutic Features Of Vitamin B12 Borderline Deficiency: Should Supplementation Be Personalized In Diabetics type 2? Dr Belazzouz A.Y, PR Boudiba.A, PR Azzouz.M; Mustapha Pacha Hospital Algiers Algeria
Discussion et Conclusion: • we notice a polymorphism of pharmacological’s associations weapons used according to diabetes pathophysiological mechanisms. • the therapeutic profile of the glycemic disorder appears to have little influence on the availability of vitamin B12. • kinetic analysis of both vitamin B12 and homocysteine objective that certainly the intravenous route seems to be the most effective in order to correct the deficit and thus improve the cardiovascular prognosis; nevertheless the sublingual route deserves moretrial before it is rejected in this indication.