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Research ArticleOriginal Article
Open Access

Vitamin B12 deficiency in patients with type 2 diabetes mellitus using metformin and the associated factors in Saudi Arabia

Roqaih R. Al Saeed and Muneera A. Baraja
Saudi Medical Journal February 2021, 42 (2) 161-165; DOI: https://doi.org/10.15537/smj.2021.2.25693
Roqaih R. Al Saeed
From the Department of Family Medicine (Al Saeed, Baraja), King Abdullah International Medical Research Center/King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia.
MBBS, SBFM
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  • For correspondence: [email protected]
Muneera A. Baraja
From the Department of Family Medicine (Al Saeed, Baraja), King Abdullah International Medical Research Center/King Saud bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia.
SBFM, ABFM
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    Figure 1

    - Relation between patient’s characteristics and vitamin B12 levels.

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    Table 1

    - Characteristics and demographic data of diabetic patients on metformin (N=307).

    Characteristicsn (%)
    Gender 
     Male116 (37.8)
     Female191 (62.2)
    Duration of DM (years) 
     <10 years169 (55.0)
     ≥10 years138 (45.0)
    Metformin dose 
     <1000 mg187 (60.9)
     ≥1000 mg120 (39.1)
    Smoking 
     Yes21 (6.8)
     No286 (93.2)
    Alcohol use 
     Yes1 (0.3)
     No306 (99.7)
    Vegetarian 
     Yes0 (0)
     No307 (100)
    Age (years) (mean±SD)58.6 (11.1)
    HbA1c level (mean±SD)8.5 (1.68)
    Length of metformin use (years) (mean±SD)9.53 (5.853)
    • Values are expressed as numbers and percentages (%).DM: diabetes mellitus. A1C: glycated hemoglobin.

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    Table 2

    - Association between vitamin B12 levels and use of a supplement (N=307).

    Supplement useDeficiencyBorderlineNormalChi-squareP-value
    B-complex   49.220.00*
     Yes1 (0.9)51 (45.1)61 (45.0)  
     No10 (5.2)150 (78.5)31 (16.2)  
    Multivitamins   1.6570.437
     Yes0 (0.0)23 (65.7)12 (34.3)  
     No11 (4.1)180 (66.4)80 (29.5)  
    Duration of B-complex (years)   2.2830.319
     <21 (107)24 (40.0)35 (58.3)  
     ≥20 (0.0)27 (51.9)25 (48.1)  
    Duration of multivitamins use (years)   0.2730.458
     <20 (0.0)15 (75.0)5 (25.0)  
     ≥20 (0.0)8 (57.6)6 (42.9)  
    • Values are expressed as numbers and percentages (%).

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Saudi Medical Journal: 42 (2)
Saudi Medical Journal
Vol. 42, Issue 2
1 Feb 2021
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Vitamin B12 deficiency in patients with type 2 diabetes mellitus using metformin and the associated factors in Saudi Arabia
Roqaih R. Al Saeed, Muneera A. Baraja
Saudi Medical Journal Feb 2021, 42 (2) 161-165; DOI: 10.15537/smj.2021.2.25693

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Vitamin B12 deficiency in patients with type 2 diabetes mellitus using metformin and the associated factors in Saudi Arabia
Roqaih R. Al Saeed, Muneera A. Baraja
Saudi Medical Journal Feb 2021, 42 (2) 161-165; DOI: 10.15537/smj.2021.2.25693
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Keywords

  • type 2 diabetes mellitus
  • metformin
  • vitamin B12 deficiency

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© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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