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Metformin is a drug approved by the U.SFood and Drug Administration as a prescription medication to treat diabetesThis medication is used to decrease hepaticliverglucose productionto decrease GI glucose absorption and to increase target cell insulin sensitivityThis medication is a treatment indicated as an adjunct to dietexerciseand lifestyle changes such as weight loss to improve glycemicblood sugarcontrol in adults with type 2 diabetesMany patients with type 2 diabetes will eventually need to take insulin by injectionMetformin does not cause weight gain.

Metformin may rarely cause a seriouslife-threatening condition called lactic acidosisTell your doctor if you have kidney diseaseYour doctor will probably tell you not to take metforminAlsotell your doctor if you are over 65 years old and if you have ever had a heart attackstrokediabetic ketoacidosisblood sugar that is high enough to cause severe symptoms and requires emergency medical treatmenta comaor heart or liver diseaseTaking certain other medications with metformin may increase the risk of lactic acidosisTell your doctor if you are taking acetazolamideDiamoxdichlorphenamideKeveyismethazolamidetopiramateTopamaxin Qsymiaor zonisamideZonegran

Yesyou can drink alcohol while taking metforminHoweveralcohol can increase the risk of low blood sugar levelsTry not to drink on an empty stomach.

Metformin comes as a liquida tabletand an extended-releaselong-actingtablet to take by mouthThe liquid is usually taken with meals one or two times a dayThe regular tablet is usually taken with meals two or three times a dayThe extended-release tablet is usually taken once daily with the evening mealTo help you remember to take metformintake it around the same time(severy dayFollow the directions on your prescription label carefullyand ask your doctor or pharmacist to explain any part you do not understandTake metformin exactly as directedDo not take more or less of it or take it more often than prescribed by your doctor.

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Metformin is negligibly bound to plasma proteins, in contrast to sulfonylureas, which are more than 90 protein bound.

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It’s best to take metformin tablets with a meal to reduce the side effectsSwallow your metformin tablets whole with a glass of waterDo not chew them.

Over timepeople who have diabetes and high blood sugar can develop serious or life-threatening complicationsincluding heart diseasestrokekidney problemsnerve damageand eye problemsTaking medication(smaking lifestyle changese.gdietexercisequitting smokingand regularly checking your blood sugar may help to manage your diabetes and improve your healthThis therapy may also decrease your chances of having a heart attackstrokeor other diabetes-related complications such as kidney failurenerve damagenumbcold legs or feetdecreased sexual ability in men and womeneye problemsincluding changes or loss of visionor gum diseaseYour doctor and other healthcare providers will talk to you about the best way to manage your diabetes.

Keep all appointments with your doctor and the laboratoryYour doctor will order certain tests before and during treatment to check how well your kidneys are working and your body’s response to metforminTalk to your doctor about the risk(sof taking metformin.

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