Abstract

BackgroundNo previous study has assessed whether the addition of metformin potentiates fibrate action on hemostasis in prediabetic subjects. MethodsOur study included 41 fenofibrate-treated patients with impaired glucose tolerance allocated to either metformin (3g daily) or placebo. ResultsTwelve-week treatment with fenofibrate and metformin reduced plasma levels of fibrinogen and PAI-1 and tended to change the other hemostatic markers measured, as well as improved insulin sensitivity. ConclusionsOur results show that high-dose metformin exhibits beneficial effects on coagulation and fibrinolysis in isolated IGT patients treated with a fibrate.

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