GLUCOPHAGE is a patient ticker that your GLUCOPHAGE may want to eat up to 500 mg. This means there’s less chance of getting an upset stomach from the medicine, but also means it may take a bit longer to experience the full benefit when getting started on metformin. I experienced some mild side effects when I started taking metformin, and I found that the symptoms correlated with how many carbs I had in my diet. One study that followed type 1 participants for three years found that compared to placebo, participants taking metformin lost weight.

One of the well documented and oft-lamented side effects of this drug is the ‘glucotrots’. What are less common side effects of metformin? In 2019 the FDA investigated whether some forms of metformin contain high levels of a carcinogenic (cancer-causing) chemical called N-nitrosodimethylamine (NDMA). The ADA has noted that more doctors should be prescribing metformin to treat prediabetes (a state of higher-than-normal blood glucose levels that doesn’t meet the diagnostic criteria for diabetes), especially for people under the age of 60, although the FDA has yet to bless metformin’s use for the condition.

This can help to treat high blood sugar levels overnight.

If you’re feeling low, check your blood sugar - there will be times when you do need to treat hypoglycemia with glucose tablets or orange juice or the like. If you experience symptoms like these and have confirmed with a glucose meter the low you are feeling is indeed false (i.e. your meter says you’re at 96 mg/dL), keep taking your metformin as directed. A faux low happens when you drop your blood sugars to a "normal" range after running consistently high (i.e.

above 180 mg/dL), whether by starting on a therapy like metformin, going on a low-carb diet, or both. The medication is so effective as a first-line therapy that the American Diabetes Association (ADA) includes it in its Standards of Care. In 2020, the FDA recommended the recall of several versions of extended-release metformin, and more than a dozen companies have since voluntarily recalled certain lots of the medication.

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In addition to paying attention to certain medication interactions, you should also avoid drinking alcohol in excessive amounts while taking metformin as alcohol can contribute to lactic acidosis.