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Research ArticleOriginal Research

The Prevalence of Vitamin B12 Deficiency in Patients with Type 2 Diabetes: A Cross-Sectional Study

Matthew C. Pflipsen, Robert C. Oh, Aaron Saguil, Dean A. Seehusen, Derek Seaquist and Richard Topolski
The Journal of the American Board of Family Medicine September 2009, 22 (5) 528-534; DOI: https://doi.org/10.3122/jabfm.2009.05.090044
Matthew C. Pflipsen
MD
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Robert C. Oh
MD, MPH
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Aaron Saguil
MD, MPH
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Dean A. Seehusen
MD, MPH, FAAFP
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Derek Seaquist
MD
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Richard Topolski
PhD
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    Table 1.

    Characteristics of Outpatient Patients with Type 2 Diabetes

    Characteristics (n = 195)Value
    Age (yrs) (mean [SD])61.5 (9.6)
    Serum B12 (pg/mL) (mean [SD])470.0 (311.4)
    Serum folate (ng/mL) (mean [SD])17.7 (12.7)
    Length of diabetes diagnosis (yrs) (mean [SD])8.3 (7.2)
    Body mass index (kg/m2) (mean [SD])31.4 (6.6)
    Hemoglobin A1c (mean [SD])7.3 (1.2)
    Male (n [%])104 (53.3)
    Current metformin use* (n [%])133 (68.2)
    Any history of metformin use (n [%])157 (80.5)
    Multivitamin use (n [%])104 (53.3)
    Acidblocker use (n [%])70 (36.1)
    Calcium use (n [%])35 (17.9)
    Race (n [%])
        White110 (56.4)
        Asian†38 (19.4)
        Black24 (12.3)
        Other‡23 (11.8)
    Metformin dose§ (mg) (n [%])
        1-100032 (24.1)
        1001-199928 (21.0)
        ≥200073 (54.9)
    • * Current use defined as patients taking metformin upon enrollment in the study.

    • † Includes Pacific Islanders (n = 19).

    • ‡ Includes Hispanic (n = 4), Native American (n = 1), and unknown (n = 18).

    • § Numbers reflect patients currently taking metformin (n = 133).

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    Table 2.

    Bivariate Associations with B12 Deficiency

    Continuous VariablesB12 DeficiencyP
    Yes (n = 44)No (n = 151)
    Age, years (SD)63.1 (9.4)61.1 (9.6).22
    Length of diabetes, years (SD)10.3 (7.9)7.8 (6.9).04
    Categorical Variables (%)YesNo
    Gender.62
        Male22.082.0
        Female24.076.0
    Current metformin use*.99
        Yes68.1868.21
        No31.8231.79
    History of metformin use.27
        Yes86.478.8
        No13.621.2
    Acidblocker use.45
        Yes40.934.7
        No59.165.3
    Calcium use.69
        Yes15.918.5
        No84.181.5
    Multivitamin use<.001
        Yes31.859.6
        No68.240.4
    • * Current metformin use as defined in Table 1.

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The Journal of the American Board of Family Medicine: 22 (5)
The Journal of the American Board of Family Medicine
Vol. 22, Issue 5
September-October 2009
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The Prevalence of Vitamin B12 Deficiency in Patients with Type 2 Diabetes: A Cross-Sectional Study
Matthew C. Pflipsen, Robert C. Oh, Aaron Saguil, Dean A. Seehusen, Derek Seaquist, Richard Topolski
The Journal of the American Board of Family Medicine Sep 2009, 22 (5) 528-534; DOI: 10.3122/jabfm.2009.05.090044

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The Prevalence of Vitamin B12 Deficiency in Patients with Type 2 Diabetes: A Cross-Sectional Study
Matthew C. Pflipsen, Robert C. Oh, Aaron Saguil, Dean A. Seehusen, Derek Seaquist, Richard Topolski
The Journal of the American Board of Family Medicine Sep 2009, 22 (5) 528-534; DOI: 10.3122/jabfm.2009.05.090044
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