A history of renal failure (unless recovered for at least months), lactic acidosis, recurrent or severe hypoglycemia, or significant chronic obstructive lung disease; patients will not be excluded for reversible episodes of elevated creatinine due to hypovolemia Prior history of lactic acidosis Chronic (daily use for > month) use of cimetidine (significant increase in metformin concentration and risk of lactic acidosis) Iodinated contrast agents used in prior hours (significant increase in metformin concentration and risk of lactic acidosis) Subjects receiving metformin or other agents known to increase risk of lactic acidosis. Patients with history of lactic or any other metabolic acidosis Subject currently being treated with biguanides or other agents known to increase risk of lactic acidosis Patients with history of lactic or any other metabolic acidosis Patients with a history of chronic kidney disease or lactic acidosis Metabolic acidosis, acute or chronic, including ketoacidosis Prior history of lactic acidosis or metabolic acidosis Patient has a history of lactic acidosis, chronic kidney disease or a creatinine >= . mg/dl Patients with acute or chronic metabolic acidosis, lactic acidosis, or ketoacidosis; Note: during the study, metformin must be discontinued for hours before and hours after imaging involving intravenous (IV) contrast to minimize risk of lactic acidosis Patients with plasma bicarbonate less than mEq/L or history of lactic or any other metabolic acidosis Subject currently being treated with biguanides or other agents known to increase risk of lactic acidosis. Patients with history or evidence of lactic acidosis or metabolic acidosis will be excluded A history of metabolic acidosis, including ketoacidosis or increased risk of lactic acidosis metabolic acidosis > - milliequivalent (mEq)/L for more than hours, Prior history of lactic acidosis Patients with plasma bicarbonate less than mEq/L or history of lactic or any other metabolic acidosis Patients with plasma bicarbonate less than mEq/L or history of lactic or any other metabolic acidosis Have a prior history of lactic acidosis by self-report History of lactic acidosis Have a history of lactic acidosis or risk factors for lactic acidosis Active or history of lactic acidosis, metabolic acidosis, or diabetic ketoacidosis History of lactic acidosis as per prior medical records or provided by the patient Metabolic acidosis, acute or chronic; acidosis will be defined a blood pH < .; acidosis will be suspected if serum bicarbonate is < mEq/L; in such cases, venous blood pH would be checked to confirm or exclude acidosis Patients with plasma bicarbonate less than mEq/L or history of lactic or any other metabolic acidosis