Who should not use metformin?

Your doctor will probably tell you not to take metformin. Also, tell your doctor if you are over 65 years old and if you have ever had a heart attack; stroke; diabetic ketoacidosis (blood sugar that is high enough to cause severe symptoms and requires emergency medical treatment); a coma; or heart or liver disease.
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Who should avoid taking metformin?

Due to their greater vulnerability to metformin side effects, the following people are usually not given metformin: Those with stage 4 or 5 kidney disease. People with Type 1 diabetes. Older adults with prediabetes.
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Why you should avoid metformin?

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 dangers of taking metformin?

Commonly reported side effects of metformin include: lactic acidosis, diarrhea, nausea, nausea and vomiting, vomiting, and flatulence. Other side effects include: asthenia, and decreased vitamin b12 serum concentrate. See below for a comprehensive list of adverse effects.
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What is the most serious side effect of metformin?

Under certain conditions, too much metformin can cause lactic acidosis. The symptoms of lactic acidosis are severe and quick to appear, and usually occur when other health problems not related to the medicine are present and are very severe, such as a heart attack or kidney failure.
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What To Avoid When Taking Metformin | Drug Interactions | Pharmacology



What is an alternative to metformin?

Precose, Januvia, Victoza, Glucotrol XL, and Actos are some metformin alternatives. Get the full list here. Metformin is an oral prescription medication used in the treatment of Type 2 diabetes mellitus. It belongs to a class of drugs known as biguanides.
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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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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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Is metformin hard on kidneys?

Metformin does not cause kidney damage. The kidneys process and clear the drug out of your system via urine. If your kidneys are not functioning properly, metformin can build up in your system and cause a condition called lactic acidosis.
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What is the black box warning for metformin?

Metformin has a black box warning for lactic acidosis — a condition where too much lactic acid builds up in the blood. It's a serious problem and can lead to death. If you experience these symptoms, seek medical attention right away.
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What are the pros and cons of metformin?

What are the pros and cons of taking metformin?
  • Lowers the amount of glucose made by the liver - which can result in the body's cells being more sensitive to the action of insulin!
  • Relatively inexpensive.
  • Usually well tolerated by most people.
  • Taken as a tablet.
  • Affordable.
  • Cancer prevention.
  • Cardiovascular benefits.
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What do metformin do to your legs?

A lack of this B vitamin can happen to anyone, but the risk is higher on metformin, especially over time. When you don't get enough, it can cause peripheral neuropathy, the numbness or tingling in your feet and legs that's already a risk with diabetes.
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Can I take vitamin D with metformin?

No interactions were found between metformin and Vitamin D3.
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Should I take metformin for prediabetes?

Metformin Should Not Be Used to Treat Prediabetes | Diabetes Care | American Diabetes Association.
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What is the average weight loss with metformin?

The amount of weight you're likely to lose is low. In one diabetes prevention study, 29% of people lost 5% or more of their body weight and just 8% lost around 10%. On average, that was about 5 pounds.
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How much weight can I lose with metformin?

What is the correct dosage to experience weight loss? According to the Mayo Clinic, patients taking the oral extended-release tablets usually start between 500-1000 mg taken per day, and work their way up to 2,500 mg per day (not to exceed that amount).
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Does metformin cause weight gain?

Metformin has two advantages over other diabetes drugs: There's less risk of your blood sugar level falling too low. It doesn't cause weight gain.
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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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Is there a better drug than metformin?

Insulin remains the most effective therapy to lower glucose, particularly in comparison to most oral medicines for type 2 (including metformin).
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What should blood sugar levels be for a type 2 diabetes?

Keep your blood sugar levels close to normal to avoid many of these complications. The American Diabetes Association's goals for blood sugar control in people with diabetes are 70 to 130 mg/dL before meals, and less than 180 mg/dL after meals.
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What drink lowers blood sugar?

When participants in the study drank one cup of chamomile tea after meals three times per day for six weeks, they showed a reduction in blood sugar levels, insulin, and insulin resistance.
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Is blood sugar of 7.8 high?

Less than 140 mg/dL (7.8 mmol/L) is normal. 140 to 199 mg/dL (7.8 mmol/L and 11.0 mmol/L) is diagnosed as prediabetes. 200 mg/dL (11.1 mmol/L) or higher after two hours suggests diabetes.
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What should my blood sugar be when I wake up?

Whenever possible, aim to keep your glucose levels in range between 70 and 130 mg/dL in the morning before you eat breakfast, and between 70 and 180 mg/dL at other times.
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Is there a natural source of metformin?

Metformin was originally developed from natural compounds found in the plant Galega officinalis, known as French lilac or goat's rue.
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