Is metformin effective long term?

Conclusions: Metformin is an efficacious long-term use drug in poorly controlled type 2 diabetes patients, either in monotherapy or in combination.
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Is metformin okay to take long term?

The American Diabetes Association (ADA) also recommends metformin for some patients with prediabetes. Generally, if you are prescribed metformin, you will be on it long term. That could be many decades, unless you experience complications or changes to your health that require you to stop taking it.
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Does metformin lose effectiveness over time?

Summary. Metformin is an oral diabetes medication that can help reduce blood sugar levels in people with type 2 diabetes. Although it is the most common drug used for the first-line treatment of type 2 diabetes, it doesn't work the same for all people and can begin to lose its effectiveness over time.
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How Long Should metformin be used?

Chances are, you doctor will have you take metformin for at least a year. This is because it takes about 3 months for your HbA1C to change, and those changes are usually very gradual. If your fasting blood sugar and HbA1C drop to the normal range, your doctor may take you off metformin and see how you do without it.
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Why is metformin considered a longevity drug?

Slow aging, prevent age-related disease, and increase lifespan. Preliminary studies suggest that metformin may actually slow aging and increase life expectancy by improving the body's responsiveness to insulin, antioxidant effects, and improving blood vessel health.
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Metformin for weight loss, Is it safe long term



Can I stop taking metformin when my sugar back to normal?

Some people are able to stop taking diabetes medication like metformin, by putting their diabetes into remission. This means that blood sugar levels are in the non-diabetes range without needing any medication.
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How much metformin should I take for anti aging?

A dose of 250 mg to 850 mg twice a day with meals is recommended for anti-aging purposes.
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Can I get off metformin?

If you're taking metformin for the treatment of type 2 diabetes, it may be possible to stop. You may be able to manage your condition by making certain lifestyle changes, such as maintaining a healthy weight and getting more exercise.
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What sugar level requires metformin?

Recent guidelines recommend considering use of metformin in patients with prediabetes (fasting plasma glucose 100-125 mg/dL, 2-hr post-load glucose 140-199 mg/dL, or A1C 5.7-6.4%), especially in those who are <60 years old, have a BMI >35 kg/m2, or have a history of gestational diabetes.
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What should your blood sugar be when on metformin?

People who don't have diabetes keep their blood sugars between 60 – 100 mg/dl overnight and before meals, and less than 140 mg/dl after meals.
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What medication is replacing metformin?

Alternative options
  • Prandin (repaglinide) ...
  • Canagliflozin (Invokana) ...
  • Dapagliflozin (Farxiga) ...
  • Empagliflozin (Jardiance) ...
  • Actos (pioglitazone) ...
  • Herbal options.
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What is the next medicine after metformin?

Currently, multiple options are available as a second-line drug after metformin. Agents which can be used orally include sufonylureas (SUs), pioglitazone, dipeptidyl peptidase-4 inhibitors (DPP-4I) and sodium glucose transporter 2 inhibitors (SGLT2I).
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How much will metformin lower A1C in 3 months?

A 1000mg dose of metformin can decrease an A1C level up to 2% over a 3-month period. A1C or hemoglobin A1C is a 3-month average of blood glucose level. For example, if your A1C was 10%, it may drop to 8% in 3 months.
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How can I reverse diabetes permanently?

“There is no permanent cure for diabetes, because the cells that produce insulin have been damaged and the underlying genetic factors remain,” Lucas says. “The patient does maintain an increased susceptibility to recurrence of diabetes, so lifestyle interventions must be continued.”
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Can metformin damage liver and kidneys?

The current drug labeling strongly recommends against metformin use in some patients whose kidneys do not work normally because use of metformin in these patients can increase the risk of developing a serious and potentially deadly condition called lactic acidosis, in which too much lactic acid builds up in the blood.
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What are the disadvantages of metformin?

Side effects

Nausea, vomiting, stomach upset, diarrhea, weakness, or a metallic taste in the mouth may occur. Metformin usually does not cause hypoglycemia; however, low blood sugar may occur if this drug is used with other anti-diabetic drugs.
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What A1C number is considered diabetic?

Diagnosing Prediabetes or Diabetes

A normal A1C level is below 5.7%, a level of 5.7% to 6.4% indicates prediabetes, and a level of 6.5% or more indicates diabetes. Within the 5.7% to 6.4% prediabetes range, the higher your A1C, the greater your risk is for developing type 2 diabetes.
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What is the new pill for diabetes?

FRIDAY, Sept. 20, 2019 (HealthDay News) -- A new pill to lower blood sugar for people with type 2 diabetes was approved by the U.S. Food and Drug Administration on Friday. The drug, Rybelsus (semaglutide) is the first pill in a class of drugs called glucagon-like peptide (GLP-1) approved for use in the United States.
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How can I lower my A1C naturally?

Here are nine ways to lower your A1C:
  1. Make a food plan. Eating the right foods is essential to lowering your A1C, so you want to make a plan and stick to it. ...
  2. Measure portion sizes. ...
  3. Track carbs. ...
  4. Plate method. ...
  5. Have a realistic weight loss goal. ...
  6. Exercise plan. ...
  7. Take medications. ...
  8. Supplements and vitamins.
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What is the safest drug for type 2 diabetes?

Most experts consider metformin to be the safest medicine for type 2 diabetes because it has been used for many decades, is effective, affordable, and safe. Metformin is recommended as a first-line treatment for type 2 diabetes by the American Diabetes Association (ADA).
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Can you reverse type 2 diabetes?

According to recent research, type 2 diabetes cannot be cured, but individuals can have glucose levels that return to non-diabetes range, (complete remission) or pre-diabetes glucose level (partial remission) The primary means by which people with type 2 diabetes achieve remission is by losing significant amounts of ...
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How long does 500mg of metformin stay in your system?

Official answer. Metformin (brand name: Glucophage) will be in your system for 96.8 hours which is approximately 4 days. Metformin has an elimination half-life of approximately 17.6 hours.
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Can metformin make you look younger?

Metformin also retards aging in model organisms and reduces the incidence of aging-related diseases such as neurodegenerative disease and cancer in humans. In spite of its widespread use, the mechanisms by which metformin exerts favorable effects on aging remain largely unknown.
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Does metformin help memory?

In those with diabetes, taking metformin slowed down the loss of memory and thinking skills over a six-year period. They also looked at the number of new cases of dementia over the six years. Their results show that metformin use was linked with fewer people developing dementia over the six-year study.
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What if you take metformin and you don't have diabetes?

In fact, your doctor might prescribe metformin for weight loss even if you don't have diabetes or prediabetes. This use of metformin is called an off-label use. That means that the FDA has not approved metformin as a weight-loss aid.
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