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As a type 2 diabetic, you’ve probably heard of Metformin, or you might even be taking it yourself.
Metformin (brand name “Glucophage” aka “glucose-eater”) is the most commonly prescribed medication for type 2 diabetes worldwide…and for good reason. It is one of the safest, most effective, least costly medication available with minimal, if any, side effects.
There are always lots of questions around Metformin – how does metformin lower blood sugar levels, does metformin promote weight loss or weight gain, will it give me side effects – and lots more.
Today we’ll hopefully answer some of those questions.
How Metformin Works
Metformin belongs to a class of medications known as “Biguanides,” which lower blood glucose by decreasing the amount of sugar put out by the liver.
The liver normally produces glucose throughout the day in conjunction with the pancreas’ production of insulin to maintain stable blood sugar.
In many people with diabetes, both mechanisms are altered in that the pancreas puts out less insulin while the liver is unable to shut down production of excess glucose. This means your body is putting out as much as 3 times as much sugar than that of nondiabetic individuals, resulting in high levels of glucose in the bloodstream.
Metformin effectively shuts down this excess production resulting in less insulin required. As a result, less sugar is available for absorption by the muscles and conversion to fat. Additionally, a lower need for insulin slows the progression of insulin resistance and keeps cells sensitive to endogenous insulin (that made by the body).
Since metformin doesn’t cause the body to generate more insulin, it does not cause hypoglycemia unless combined with a sulfonylurea or insulin injection.
Metformin is one of the few oral diabetes medications that does not cause weight gain and often people note a slight weight loss (although this is not its main action and not everyone experiences weight loss).
While the mechanism for this is not clear, it may be the result of less gluconeogenesis (making glucose) in the liver and/or decreased food intake, likely caused by increased satiety (ie. curbing appetite).
The Downside of Metformin
Despite its perks, there are some precautions to take when starting Metformin.
The main side effect is gastrointestinal (GI) upsets.
Unfortunately Metformin can cause nausea, stomach pain, bloating, diarrhea, and other GI upsets in about one third of people. The good news is that this generally goes away within a couple days or 2 weeks at most.
This GI upset is simply the body adjusting to the medication and in most cases, incrementing slowly per physician and pharmacy recommendation will help to minimize upset. It also helps if you take it at the same time daily with meals.
Be aware that poor blood sugar control itself (both high and low) can also cause GI distress, so optimizing your diet is key as well. If symptoms haven’t waned after a week or 2 of taking Metformin, contact your physician’s office to see if there is a better option to consider.
It’s also worth considering that in time, as you get you maintain better blood glucose control through diet and lifestyle, you may be able to reduce or stop taking Metformin altogether – as demonstrated in this case study.
Another thing to note is that Metformin can cause B12 deficiency over time. If you’ve been taking Metformin for several years, it is advisable to get a B12 blood test. This deficiency can easily be corrected through supplementation.
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Metformin’s Effectiveness
Metformin is generally not as effective at lower doses, but starting out with smaller doses (ie. 500 mg/day) and titrating slowly to 1,000 mg twice daily (maintenance) will help avert GI side effects.
It’s also recommended never to exceed 2,500 mg/day (maximum dose).
The effectiveness of Metfomin varies from person to person–with some, the initial dose is sufficient, in others, effect is not seen until the max dose is reached, and still in others it is minimally effective.
For many people, healthy diet and lifestyle are sufficient in controlling blood glucose and in others whose biology or hormonal signaling is altered as described above, medication may be required to achieve control – it’s always an individual thing.
Regardless of whether medication is a part of your healthcare plan, it’s always important to make healthy dietary choices including the restriction of carbohydrates, most especially those in the form of white starches (bread, pasta, potatoes, rice) and simple sugars.
Metformin Perks
In comparison with other diabetes medications, Metformin:
- Is weight neutral (and in some may result in slight loss)
- Does not cause hypoglycemia
- Has a significant glucose lowering effect (preventing onset of diabetes in up to 33% of people enrolled in CDCs DPP)
- No effect on bone loss (as with TZDs and possibly SGLT-2s)
- Protective against cardiovascular disease, cancer, stroke and dementia
- Is non injectable
- Is very cost effective
- Originated from a natural herb and traces its medicinal history back thousands of years
Who should NOT take Metformin
There are a few people for whom Metformin is contraindicated:
- If you are having an X-Ray or CT scan requiring dyes, you will have to temporarily stop taking Metformin
- Because Metformin is cleared by the kidneys, it is contraindicated in kidney disease
- Because Metformin works in the liver, it is contraindicated in liver disease
- In rare cases, Metformin can cause a life threatening condition called lactic acidosis (tell your doctor if you have liver, heart or kidney disease, or drink alcohol)
As with all medications, whether to take metformin should be a shared decision between you and your physician.
Remember to discuss your goals, current blood sugar control (including HbA1c), family history, length of time you have been diagnosed, and any symptoms you may have.
Keeping a diary/log of medications and symptoms along with a food and glucose journal is very helpful in troubleshooting and making informed decisions regarding your health care in the future.
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My blood sugar level is 114 brefore breakfast and after meal is 180
Hello Ali, I would look at what you are eating for breakfast to see if you are possibly eating too many carbohydrates.
I have taken metformin for a long time. My issue is bloating and gas. Because I’m trying hard to lose weight, I try to cut carbs but then I get severe diaherea. I need help. What can I do?
Hi Irene,
If you are dealing with significant digestive issues I would connect with a gastroenterologist to see if there are any underlying issues.
I had this problem and now use a time release type of metformin.
Hi I have been prescribed Metformin after doing a long time Glucose Test. Diagnosis is insulin resistance. Typically I never have high blood sugar but low blood sugar- I have to eat really often to maintain a value above 75mg/dl. After a huge healthy breakfast protein tiny bit of carbs and veg – I have to eat an hour later as my blood Sugar has sank to about 75 – if I don’t eat it keeps going down – by the time I reach 62mg/dl I feel awful. Mornings are the worst. I take L Thyroxine. Evenings are usually okay. Last night I took the fist Metformin and am having really bad sugar dips today and where it would usually be stable in afternoon it is also dipping. Do I need to give this time to regulate. Is this the correct medication for low blood sugar? My normal blood sugar 2 hours after eating is never higher then 100.
Would really appreciate some imput. Kind Regards Michelle
Any medication will take time for your body to adjust, however, you need to speak to your doctor Michelle. Metformin lowers blood glucose so if you are already having lows and it is causing more problems, this may not be the right medication for you.
My grandson was put on metfotmin by his Dr. he doesn’t have diabetes his blood sugar is slightly high he has some mental issues. and has gained a lot of weight in the last 2 yrs he told us this medication will keep him from gaining weight but will also keep him. from losing weight is this a good drug to take for that reason he is not a very big eater he just doesn’t do anything and is very hard to motivate to do anything before his issues started he was always thin and very active would appreciate yor input Thank You
Metformin doesn’t cause weight gain and some people experience slight weight loss. If your grandson’s blood sugar levels are slightly high, he may be in prediabetic range and metformin is often prescribed in these instances. If you have any concerns, please ask your grandson’s doctor for more info.
I’ve been taking metaformin for about 8 years now and know four other people that are on it. I can say with 100% certainty and direct personal experience that it does cause weight gain. My friends have experienced the same. I don’t know why the lab monkeys that do research studies say this isn’t true. They just have to monitor a diabetic chat room or support group to get this feedback. And before you say it, yes I am sure there was no other reason for it.
Thanks for sharing your experience, Dana. Health is super individualized for each person, meaning what works well for someone might effect another person completely differently. This includes the way our bodies react to medication, food, stress, exercise, etc. Hopefully you are able to work with your doctor to figure out what works best for your body and lifestyle!!
I have been taking metformin for almost a month now. I have lost about 16 pounds. I also use an app called my fitness pal to monitor calories and carbohydrates. It’s amazing how little you can eat certain things, thinking they are healthy and still gain weight. I had a friend complain she couldn’t lose weight, until I showed her exactly how many calories she was actually getting. She was guessing her serving sizes and was really way off. We love my fitness pal as a way to stay compliant.
Hi Leva,
That is great you have found something that works for you. Tracking can be a very beneficial tool that helps us stay mindful of our food choices!
I personally have lost exactly 100 pounds over the last year by controlling my prediabetes with healthy eating and Metformin.
Awesome story! Thanks for sharing, Lynn.
Good morning. I am taking metformin 1000mg with 15mg pioze last 10 years in the morning with breakfast only I am now 60 years.My fasting sugar is 150 and pp 156 after taking medicine in the morning with break fast.I am feeling tiredness in the day will you please suggest my diet plan and proper medication thanks
Regard
Shishir
Dehradun, India
We encourage people to follow a lower carb diet to help lower blood sugar and keep levels in a healthy range. You can find the diet guidelines here. As for medications, you need to discuss this with your doctor.
I love sandwiches and I would like to know what is a good choice of bread for me ? My BG is running 170 in the morning and the highest I have had 2 hours after eating is 261. My doctor gave me metformin er 500 mg once day but I have a lot of gas and GI troubles so I haven’t started it yet.Thanks
I quit smoking 11 years ago ( 2 packs a day) and have gained 100 lbs. I am at 250 lbs now. I have a bad back and knees, copd, high blood pressure along with the diabetes. Just thought I should add that information.
Sharon, most traditional bread available in the grocery store is high in carbohydrates and likely contributing to your high blood sugar levels. The good new is that you have a few other options and we’ve actually written a whole article about the best breads for diabetics over here.
I’d highly recommend you get hold of the T2Diet Program or become a VIP member for 12 months (which gives you access to all meal plans and programs) – you’ll learn a lot and will have endless meal options at your fingertips too.
I was taking metformin for probably 15 or 20 years. Although it kept my type 2 diabetes under control, my doctors infomed me I had cirrhosis of the liver from taking it. I had the bariatric sleeve surgery, which cleared up the diabetes; however I am worried it will come back,and what do I do then. I am in stage 4 of cirrhosis.
Hi Nancy,
I am sorry to hear about this! It is best to discuss your plan of care with your physicians that know your medical history and can give you specific recommendations.
Natures own has an option with sugar free bread.
Hi Cynthia. The bread you described is much lower in carbs (9g carb, 1g fiber per slice) compared to many other commercial breads available in stores. For some, this may be a good alternative to bread, however we don’t encourage bread on our meal plans because for most people it’s easier to avoid than to moderate. Eating any type of bread, even when it seems like a “healthy” whole grain/ low calorie/ low sugar variety will really spike up your daily carb intake without you even realizing. Here are a few of our other bread substitutes you may find of interest!
I apologize since i dont take Metformin yet but i have been diagnosed with pregestational diabetes a cpl yrs ago …. Lately i have been going to docs with hubby and want to talk to her about my problems but it is his time with her not mine.
My questions is with my history should i worry about my blood sugar still being over a 100 five hrs after having a salad for dinner??? Carbs/sugar would have come from dressing or 3 bites of a sweet baguette.
How high over 100 are you typically observing? The guidelines we encourage are to maintain levels under 140 mg/dL post-prandial (2 hours after a meal.) Having a history of pregestational diabetes makes it even more important to stay on top of your numbers, you may find it helpful to check often so you can best observe the trends in your body.
Thank you so much for new information. My AC1 went up to 7.2 over last Christmas and going to Las Vegas. Macular degeneration took over and now have lost a lot of vision. Right eye is blind by a doctor who had no idea why a t he was doing. Blinded many people. Lost his license. I am very sad but want people to know how quickly it can happen. I have been on Glucophage for 20 years. Severe diarrhea every day all day. Thank you for your site.
I am 67 and weigh 6.4kg. Recently got a Hb-1Ac of 6.2, which I understand makes me pre-diabetic. Fasting glucose was 4.8. My doctor has said “wait and see” but I have already started adjusting my diet and trying to exercise more. As there is a lot of diabetes2 in my family, I am not surprised. However it’s hard to know how much to cut back on starchy foods etc. do you have any advice? I really hope to control any development by life style changes rather than medication!
Check out our recommended food list here Judith. For best results, we encourage people to cut out all starches such as bread, pasta, rice, noodles, potatoes etc – all the very high carb foods that have a direct impact on blood sugar and A1c levels.
Love this site! Diagnosed last month and initially focused on diet/exercise. Unfortunately I turned to junk food when stress hit. My pre-dinner # was just 344. My question is, should I try the Extended Release 500mg Metformin I was prescribed to get my numbers under control quickly, or start with diet and exercise, which I know will work, but may take longer? Not looking for medical advice, just opinions :) Thanks!
You always need to follow your doctors advice, including taking medication exactly as prescribed.
With that being said, we’ve seen people lower their numbers from the 300s to normal in as little as 30 to 60 days with dietary and lifestyle changes. Stay diligent with your diet and exercise and the results will follow!
Hi. In 3 weeks I went from 319 to 90-109 in the mornings and 120 after meals with a big diet change and no medication at all! With help of a dietitian specialized in Whole Foods and Vegan. In years didn’t feel so great! Right know fighting kidney and liver disease but stil strong and positive with some supplements help. Numbers also went down there!!! Some excerxise of course! Loosing weight! And enjoying life again!!! You can do it! Dr said this most be my life style now on and I love it! Be positive stand up and act!!! And then you will prove it by yourself 😉💪🏼👍🏼
What’s your take on Trulicity? I started it and suffered terrible side effects, but my numbers are significantly better 7 weeks in. I credit this to cutting out carbs significantly. Trulicity curbs your appetite (big time)…to the point that it literally punishes you for overeating and consuming too many carbs.
I checked out some videos from Dr. Jason Fung about intermittant fasting and that seems to be the cure…what is your take on that?
The ADA is absolutely wrong about the recommended carb intake for people with diabetes, and it needs to be addressed….but they know this and take contributions from the food industry and big pharma, all while promoting high carb diets to diabetics…should be criminal.
In our experience fasting isn’t necessary in order to reverse metabolism/ diabetes. Many of our members are doing it through dietary changes alone. According to our research, there are currently 3 methods that can achieve these outcomes.
You may find this article beneficial as well, it includes some more information about common diabetes medications, including Trulicity (GLP-Agonists). Always refer to your doctor for questions about medication and/or side effects.
Hi, i got diagnosed with type2 diabetes 10 days ago. I had a blood glucose of 348 im down to 160 fasting and 197 after dinner im unsure of how long it should take me to get it down to normal
With commitment to diet and lifestyle changes, we have seen people lower levels from the high 300’s to normal in one to two months – Leisa for example. But overall, the amount of time it takes someone is individualized. You’ve certainly had great improvement in a short timeframe – well done! Keep on going!
I dont understand why my bg is getting higher at night before bed, i hardly eat anything in the day salad for dinner i had 176 in the morning199 at night im on day 10 of metformin
Just like Laura said, it will take some time for you to get back to normal!
Do you check your blood sugar during the middle of the day as well, or only morning and evening? For some, it’s necessary to check more often (and track all your readings) so that you can recognize patterns in your daily values and make necessary adjustments with diet, lifestyle, and sometimes medication. Without knowing how your sugar levels are during the day, we don’t know if you are truly “rising” in the evening, versus living with chronically high blood sugar throughout the day.
Hi I am 82 and have had Diabetes for 4 years taking Metformin 2 twice a day. l suffer badly with R A having to take medication for it. I am use to the painful disability of the flare ups I get, sometimes being kept in hospital for a few days. My main problem is the nerve pain in my left leg, and the spongy painful feet from the Diabetes. Most times it’s so heavy and painful, and keeps me awake most of the night.My doctor prescribed Pregabalin, which I have been taking for a few months, but not helping at all.( just another drug). Is there anyone who can give me some help please
For the symptom management of nerve pain (neuropathy), it’s best to work with your doctor, especially if you have questions or concerns over a current medication. It’s crucial to keep your blood sugar within range to help slow the progression of the neuropathy. High blood sugar levels will continue to damage the nerves and cause further pain.
I also recommend checking out these foot tips for diabetic foot treatment to help prevent any further complications. And one supplement that has shown some promising results is alpha lipoic acid. Always consult your doctor before taking supplements.
which herb is Metformin derived from?
The concept behind metformin originates from knowledge about the French lilac (Galega officinalis). However, metformin is not derived from an herb and is not an herbal supplement, it is a prescription medication. You can find more about what the drug contains here.
What should my A1c be? Is it a random number, if not, how is it calculated? I was taking Metformin 1000 ER but asked my doctor to go on insulin because my number was not going down. I need to have knee replacement but she wont sign off
This info on A1c will help Vann. And you might want to read about the difference between A1c and blood sugar here.
I have had type 2 for 5 years. Take metformin and insulin. My problem is unusual. I need to gain 15 – 20 pounds. What can I eat to get there and would it help to stop the metformin. I went from 185 to 150 after contracting diabetes and would like to be at 165 – 170. Help!
We have quite a number of people with this problem Robert, so you’re not that unusual. ;) You will find this info useful.
How can our Doctors allow us to take medicine for us to take WHICH will cause us harm.
Metformin HDL 500- Unfortunately, no one on this blog discussions mention the dangerous ingredient “Titanium Dioxide” and “Talc” included in the metformin by majority of manufacturers. It is mind boiling why FDA approved it. Both ingredients caused cancer, there are a lot of study done and had been published. Another problem that pharmacies changing manufacturers too often looking for low cost by profiting themselves. It is very hard to find the generic form without these deadly ingredients. Beware, check the inactive ingredients and images of the pill because the different image for the same medication contain different ingredients, perhaps some less costly than others.
I felt very happy reading this article. It felt like all I have been reading about diabetes summed up into one article. Great work! Please keep it up. I have a little question from a site I read something about diabetes. Please what is the difference between sugar and glucose? And my next question is, does a yellowish urine mean I am well hydrated? I hope I am going to get answers from you Jedha? Please clear my confusion. Thanks!
Glucose is a form of sugar so sugar and glucose mean the same thing Clement, the terms are often used interchangeably – blood sugar/ blood glucose. You can find many urine charts around the web, such as this one.
Great information.. Thank you
will try moderation. thankyou
I TAKE METFORMIN TWICE A DAY AT 500 MG EACH. ONE IN THE MORNING AND I AT NIGHT. WILL THIS HELP. WHAT IS THE NORMAL COUNT FOR TYPE 2 DIABETES.
SOMETIMES I EAT SWEETS. IS THIS BAD.
Metformin is one of the most common medications used to help control blood sugar. It is likely helping but diet and lifestyle changes can also help control blood sugar, and reduce the need for medication in many people. However, you should always check with your doctor regarding specific medication questions or if you want to change dosage etc. Your goal with blood sugar is to get to normal ranges, or as close to normal as you can, which is less than 100 mg/dL before meals; and under 140 mg/dL after meals.
As for sweets they do contain sugar, which will raise blood sugar. If you’re struggling to gain good control, you might think about limiting them, or trying some alternative sweets.
Please i need you to answer my question. I am 43, female,diagnosed diabetic in 2016. But I want to ask if being diabetic can make one to experience painful sexual intercourse and dry vaginal? I am currently on metformin 1000mg.and again i want to know if being diabetic can make it difficult to get pregnant even though i have fibroid 6.0 x 4.3cm inside the womb. Thank u
You need to contact your doctor so they can refer you to someone who specializes in this. Diabetes is likely not the cause of your pain nor trouble getting pregnant. Although, I can say that having tight control of your blood sugar leading up to and during pregnancy is crucial for a healthy pregnancy and baby.
I was diagnosed Type 2 ten years ago. I am on metformin 850mg two time a day, and glibenlcamide 5mg once a day. My sugar levels are around 136 and 165. Is the medication doing me good?
Metformin is one of the most common medications prescribed for people with diabetes Fred and it likely is doing you some good. It’s hard to say without knowing your history. But overall, you could get your levels controlled better through diet and lifestyle means as well, that way you may not need the meds. Try looking at your diet and lifestyle to see what you may be able to alter. Also, the best person to discuss medications with is your doctor.
Thank you Jedha for the guidance. Looks like diet and lifestyle is indeed key to better management of diabetes
Yes indeed Fred! Diet and lifestyle changes can help you control diabetes, and perhaps without the need for medications. Though you should always work with your doctor if you’re aiming to reduce them.
Metformin can cause stomach upset, but if you start is with a low dose and increase “as tolerated” your stomach will get used to it.
Focus on the benefits! Metformin will improve your liver function. When you improve your liver by just 20% , your blood sugar will improve by 80%!
In other words, if you are prediabetic, you will save your beta cells!
If you have polycystic ovaries, it will absolutely improve this condition.
Focus on the benefits!
Start slow and increase slowly.
Yes, it definitely has it’s benefits!
My doctor prescribed Metformin ER 2 months ago. I haven’t taken it because of the terrible side effects people have reported. I also have stage 2 chronic kidney disease and am very allergic to sulfa drugs which my doctor is aware of. I am confused as to why she would prescribe this drug. All the newer drugs are VERY expensive and I can’t afford them. Any suggestions?
What a bummer–I would ask your doctor since she is the one who prescribed it and knows your treatment options. I’m assuming by “sulfa” you mean sulfonylureas? Like glipizide, glyburide, glyimipiride? If so, Metformin is the only other ‘inexpensive’ option. The other meds will be more costly. Remember that the majority people have absolutely no side effects when taking Metformin. If someone has a great or mediocre experience with something (medicine, a restaurant, a purchased item), they usually won’t say anything, but if someone has an awful experience, they tell everyone. CKD stage 2 is not contraindicated with Metformin so if your doctor prescribed it, I’d give it a shot before you knock it. Also, the ER is less likely to cause side effects than the regular.
My A1C went to 7 3 months ago and my fasting blood sugar was 125. My doctor decided to put me on 750mg er Metformin to take with dinner. I had resisted taking this medication because of the side effects I had heard about. So, I haven’t taken it yet. I am trying to eat better. I need to lose a lot of weight. Unfortunately I have some severe orthopedic problems that prevent me from exercising. What I am puzzled about is that my doctor knows that I have stage 2 chronic kidney disease plus I am very allergic to sulfa drugs. After reading the comments I am very afraid to take this drug. All the newer drugs are VERY expensive. I am very confused as to why my doctor would prescribe this drug knowing my medical history
When I fast my level is between 104 112 my dr put me on 500 once a day do you think I need it
Hi….
Can i take metformin and cinnamon capsules?
Thanks
Kim
Hi Kim,
No contraindication with metformin and cinnamon. Remember that dietary supplements aren’t regulated like drugs are so just exercise caution and be a wise consumer as you choose!
I have a disorder of my spinal cord/nerves called arachnoiditis that causes severe pain. It’s hard for me to exercise at all because of it. I have been diabetic for the past 11 years, and last year had to start insulin therapy for it. I am still on 1000 mg Metformin twice a day. Are there perhaps forms of exercise that you know of that would not put any stress on my lower spine to help me control my blood sugar and weight?
Sorry to hear of your pain and struggle Lynelle. Are you able to do things like chair leg lifts, swimming, or upper body exercises with some weights? That’s the direction I’d be trying.
I can’t be in a swimming pool due to the pain or I might drown. I can and have been doing some exercises with my arms and some 5lb weights, it just doesn’t feel like it is enough. It doesn’t seem to have any effect on my blood sugar readings. I’d be interested in anything you have regarding using arm weights. And no, I can’t do anything in a sitting position, so no chair leg lifts. The arm exercises I do while lying flat on my back with my knees bent, feet on the floor.
This is a difficult on Lynelle. It’s a case of where you just have to do what you can. I’d recommend seeing a physical therapist. They may be able to design a more specific program for you.
I have t2 and was taking 1000 mg metformin daily my side effects was dry mouth to the point I could not speak and diarrhea so severe I had to wear a diaper I lost control of my bowels the diaper could not hold it. I was to the point of giving up. Thank God I stopped taking it no dry mouth or any diarrhea now.
I had very similar reaction to you with Metformin. The relief Dr at the clinic told me I probably had IBS which was a common side in Diabetics..the Specialist laughed when I told him ! Anyway I went about 4 months with constant and severe debilitating diarrhoea which was so bad I hardly dared go to the shops in case I was in sudden need of a toilet. Anyway a change in medication has made a massive difference, although it is more expensive, to me it is worth it.
Had double pnuemonia last Xmas, lost a bit of weight now lost two stone, can a traumatic event like that trigger diabetes.
Absolutely, infections or anything which trigger the immune system can cause an elevation in blood sugar. Double pneumonia sounds awful.
which is best, er metformin or immediate release?
It just depends on the person and their condition. Metformin is fine for most people, the ER will release slower and sometimes easier on the gut for some people. I’d encourage you to discuss with your physician based on your health history and blood sugar readings.
I started taking Metformin 500mg w/breakfast two days ago. One of my kidneys is covered with cysts.I forgot to mention this to my pcp. The Dr at the time I was told about the cysts I was and am not having any issues with the cysts (no pain or anything). Do you know if Metformin will affect my kidneys? The cysts were discovered while being checked for rapid heart beat (heart rate was 150). I am 77, have family history, overweight. However, I’ve started an excersize once a week and I plan to increase to at least 3 times a week. I am concern about the cysts that surround one of my kidneys.
Zella,
Please discuss this with you doctor asap to help make an informed decision. Even if you don’t go in, call to leave a message so they are aware of the issue with your kidneys. Whenever a doctor is prescribing a medication, they need to be fully informed of your medical conditions and medications. Metformin is cleared by the kidneys and so if you have issues with your kidneys the medication may not clear as it should. Check with your doctor before making any changes!
I just got diagnosed yesterday and will start 500mg of metformin tonight. Is having a couple of beers completely out of the question? Just curious.
Barney, that’s up to you. Metformin doesn’t have a direct contraindication with alcohol. However, alcohol is empty calories and toxic–as compared with food which is nutritious. Additionally, keep in mind that beer is extra carbs and often alcohol lowers inhibition resulting in poor dietary choices later. I’d try to keep it minimal if it were me.
I won”t go on Mediform. It can made your diabetes get bad and can cause cancer which is bad in my family. I am on raw vegetables and fruit. have got my blood sugars down from 197 on may 2 to 109 on June 5. Have my smoothie of spinach and Kale with Bee Pollen and squirt of Honey with strawberries and bananas or blueberries in morning. Plus a organic vegetable powder which I don’ have the name with me now. Then lunch I’ll have a green salad with carrots celery broccoli, cauliflower,onions and any other kind of vegetable I have. With Hemp oil for dressing will also put in flax seed , raw nuts and fruits.I can have my smoothie a couple times a day. eat the raw vegetable thru out the day and fruit also raw nuts as much as I want. Most of all the strength of God to help as I know I could not do it without Him, Will power bad when I see dessert but now a fruit helps,cut the want. I’m on supplement which has help get things back to the way they should be. Many good things out there that will help your body too heal. God made my body healthy my way of eating hurt me or should I say my choices of eating. There also is other things I have done but these are the biggest.
Great job being proactive and making lifestyle changes! Some people are able to maintain control without needing metformin or other medications and it seems this is working well for you. Keep up the good work!
Metformin’ was my biggest night mare.
It cost me a lot of diarrhea specially when I got in the middle of the store and couldn’t get to the bathroom and I was so embarrassed. Never will I take metfomin ever again.
Unfortunately, it does have that effect on some people…in most, it resolves over time, but in some it does not. Thankfully there are other options available!
I was diagnosed with T-2 within the past year. I have been on Metformin 750mg 1 x in the evening after meal. Have not experienced any side effects. I can relate to many of the comments posted here and truly appreciate the information within your response to them. Thank you.
Jim
You’re welcome–so glad you find our site a helpful resource. That’s our goal!
I was diagnosed T2 less than a month ago. My Dr. put me on MetforminER, once a day (in the morning). I’ve noticed – unbelievable – that I am getting WOLFISHLY hungry after taking Metformin. However, several times I had forgot to take it and did not want to eat at all, almost all day. Is it possible that Metforming causes the feeling of hunger instead of expected loss of desire to eat?
That is a side effect I’ve never seen in practice, nor read about. Everyone responds to medication differently, so I can’t rule it out..however, pretty unlikely. Most often, Metformin helps curb appetite if anything. I’d mention it to your physician next time you have an appointment and maybe try to think if there were any other variables at that time (other meds, skipping a meal, etc) that could have factored into the increase in hunger.
Dr prescribed me metformin to help with weight loss. I have been unsuccessful in this area. My question is when do I take this med. Presently I take it in the AM when I get up and when I go to bed. Should I be taking it with my meals?
Yes, definitely always take with meals. It will not affect the potency of the medication, but will help to reduce GI side effects. It should be taken at the same time every day (morning or evening does not matter, but most people take in the morning if only taking once per day).
I just started Metformin. Supposed to take a 500mg pill twice a day but most of the time only get the one in at breakfast. In two weeks my fasting has gone down from 250 to 116. I already limit carbs and sugars so I didn’t have much of a GI reaction which I am thankful for due to having IBS-D for so long. I think this is a good start. My problem is I don’t eat enough but need to lose weight. I try and eat proteins and veggies mainly with some carbs. Anything I can do to get more energy want to eat more and be more active? I want to control this but I know mine is hereditary. My back hurts all the time and when I walk it seizes up. I lost 80 pounds over the past four years and 10 in the last 3 months but I need to do more at 231 I gotta get this thing under control. Frustrated but happy with the results so far.
Melissa,
Sounds like you’re doing a great job taking charge of lifestyle changes like getting your diet and exercise under control. Metformin can also help with weight loss and hopefully that’s the case as well. There can be a lot more factors contributing to weight gain or difficulty with loss including: gut microbiome (have you considered a probiotic supplement?), hormonal disruption (perhaps see endocrinologist to check your thyroid and other potential issues), and as you said genetics. Bariatric surgery–esp gastric sleeve has been shown to be effective in those who have tried everything & still not seeing results. However, it looks like you are still seeing results, just maybe a bit slower than you’d like.
I was diagnosed with Type II diabetes in May 2016. I never had any symptoms, wasn’t feeling poorly, not overweight and considered myself to be a healthy person. My PCP says it is hereditary; my grandmother had it. I currently take 500mg Metformin 3 x day. My fasting reading in the morning usually runs in the teens (i.e. 115, 117 etc.) and two weeks ago I was even 107. I exercise daily and really watch my diet closely. Here’s my problem. Within 6 weeks Of being diagnosed and starting Metformin, I lost 13 pounds. I’m 5’6″ and weighed 140. I’m now at 128 and hate it. Everyone Tells me how skinny i am. I saw a dietician and she told me to eat More protein and snack alot. I do all this but i never gain an ounce. I hate it. A friend of mine said she was prescribed Metformin strictly to lose weight (she’s not diabetic). What other meds can i take that are not costly and that won’t make me lose weight?
While the majority of those with Type 2 Diabetes struggle with overweight or obesity, it isn’t uncommon to have the condition at lower weights. Unfortunately, most people with prediabetes and early diabetes do not have any symptoms, but it is very important to take seriously because damage can still occur. Jedha wrote a great article about healthy weight gain and diabetes here: https://diabetesmealplans.com/9664/low-carb-weight-gain-diet-for-diabetes/. I would just reinforce that calories are what matter when it comes to weight gain and thankfully, FAT (which does not significantly increase blood sugar) has the most calories per gram–more than carbs and protein. So amp up your healthy fats: avocado, coconut oil, olive oil, nuts/seeds, nut butters as well as protein/fat foods such as salmon, eggs, chicken etc. Eating small frequent meals throughout the day helps as well. Metformin has a slight weight loss effect, but it isn’t that strong. You should be able to maintain a healthy weight by altering a few things in your diet.
very helpful information ! thank you very much
I have been type 2 for about 13 years. Sugars have always been pretty good for about the last 10 years. Recently i quit my job and stsrted school to get my LPN at age 46. I have noticed an increase in my morning blood sugars aii the way to 190. I have taken metformin 500mg Twice daily for 13 years.
With school and school work, i do sit a lot.
I am eondering if i need to increase my metformin at this stage.
Hi Elizabeth. That may be a next possible step, I would recommend scheduling an appt with your pcp to discuss your options and which would be the best. Perhaps trying to figure out how to increase your activity would help as well. One thing I used to do in undergrad and grad school is write out my notes on notecards and ‘quiz’ myself (terms on one side, definitions on the other) which I could take with me on walks or to the gym. Multi-tasking is sometimes a necessary solution when juggling a lot in life. Good luck!
Since the day I took my first dose I have had Diarrhea. It has never stopped in 3 years. My A1c is 6.5 and my Doctor is going to let me decrease the dose. The GI upset has been continual. I am sorry but there is a big Side Effect for some of us. The one thing I have done differently is I take my dose at night. That stops some of the GI upset. The diarrhea has never gone away.
Sorry to hear you’re having such a rough time Linda. Generally the diarrhea goes away in a week or 2 in those who develop it but obviously if the side effects do not improve, it is appropriate to consider medication change. I have run across several patients for whom that is the case. I would encourage you to discuss alternative options with your physician as there are many other medication options available.
My mother is currently on metformin, but not sure of her dose. She was diagnosed in august 2016 when she went in for her physical at work & her glucose level was over 500. she still thinks she can eat what she wants now that she’s on this medication. However, when she over does it she tends to get sick. For instance, she went out the other night & I was told she ate flour tortillas, beer, butter, tortilla chips, refried beans, Spanish rice & enchiladas w/cheese sauce. Not even 24hrs later she has been vomiting & has diarrhea. Is this due to the medication? She thinks she has the flu, but this has happened now twice in the last month after her over doing it with her carb & sugar intake & She won’t listen to me.
Wow–that’s not just a lot of food in general, but quite a lot of refined carbs and high fat. I’m not surprised she got sick–in fact I’d be a bit surprised if someone felt well after all that. Unfortunately, knowledge does not always equate to behavior change. Sometimes ignorance is bliss when it means someone can continue to engage in habits they really like even if they are bad. It would be difficult to tell which is the culprit when you have illness, a new medication and a poor diet all at once. Regardless, it is wise to follow a carb-controlled, balanced diet whether on metformin or not.
Hi, Elizabeth. I am a diabetic patient. I am interested to be in touch with latest medications.
Hi Raj, Elizabeth wrote a medication guide over here. I’m sure you’ll find some of the answers you’re looking for.
What is the metabolical impact of chewing a glucofage XR ” slow release ” tablet if I am unable to swallow it ? The label clearly says ” do not chew ” but the doctor laughed and said it did not matter.
Hi Ernesto,
I would recommend speaking with a pharmacist about your question. I/we would not advise any patient to take a medication ‘off label’ or contrary to manufacturer specifications. I could speculate, but the pharmacodynamics of medications is way outside my scope. I would discuss your concerns with a pharmacist you trust (they are really knowledgeable!) and/or the manufacturing company itself if you have concerns or want a second opinion to your doctors recommendation. There should be a contact number listed with your Rx.
I was put on Metformin in June 2016, hands and feet started to peel…alergic reaction to the meds…after a few weeks it Stopped I’m also taking my blood sugar levels and I notice with carbs they spike…low carbs the numbers are good….I’ve lost a total of 25lbs..since june…but now I’m at a stand still…I need to walk more/exercise more…
I was just prescibed metFormin hcl 850mg twice a day for prediabetes with an AC1 of 5.9. No where do i see where its for pre diabetes, is it?
Hi Karen–yes Metformin is approved for use in Pre-Diabetes, but should multiple factors should be taken into consideration. The Standards of Care (http://care.diabetesjournals.org/content/suppl/2015/12/21/39.Supplement_1.DC2/2016-Standards-of-Care.pdf) see summary on p 36 and following states that metformin should be considered in those with pre-diabetes esp if BMI is high or prior history of GDM. It is a very safe effective medication with few, if any, side effects.
We are cleaning our kitchen pantry out, trying to get Healthy food. We have Organic Penne Pasta is this something we can keep having T2 diabetes? Or should I get rid of this?
Give it the flick John. Organic Penne Pasta is simply wheat pasta, which is high in refined carbs and will likely send your blood sugar soaring. More info on pasta here and here.
Thank you so much for the info, I’ll get rid of It.
John
You’re welcome John. Glad the info helps and let us know how you go with your new eating habits!
Thank you Elizabeth for your Reply. I really appreciate You taking the time to explain this. It makes sense and I will share this info with my Husband so we can make the best decision for our daughter.
Thank you again.
Letty
hello,
my 9 year old was diagnosed with Insulin Resistance and hyperthyroidism. her doctor prescribed metformin. everyone (family) keeps telling me this is bad for her and will damage her organs (kidneys, liver). they tell me she is too young to be taking this type of medication. I am aware that every medication can have bad side effects. but even my husband is against her taking it. has anyone experience any issues with their kidneys or liver while taking metformin?
Hello Letty,
You pose a good question and your concerns are valid. Metformin is less commonly prescribed, but approved for use in children and sounds like your 9 year old may be an appropriate candidate to give it a shot. While I would certainly advise starting out with the lowest dose possible and being mindful of potential side effects–namely GI effects. There are no contraindications for liver damage–the medication is not cleared by the liver, but by the kidneys. And the medication does not cause kidney damage. Poor blood sugar control causes this. Often people get this confused. People with diabetes are often on metformin and incur kidney damage (at which point they have to stop because with damage, the medication can’t be cleared) and attribute it to the metformin when it’s actually because of ongoing hyperglycemia. So you may want to weigh out the benefits of metformin on improving hormonal control and preserving the pancreas, thereby preventing organ damage against side effects. Does that make sense? The way you pose the question, many people will answer “yes” but the “issues with kidneys or liver” are WHILE taking metformin, but not because of it. I’m not advising you either way, just clarifying how the medication works. More info on how is works is available here and here. Of course, being very diligent with diet, exercise and weight can go a long way and may eliminate the need for medication at all. Best to you!
I just started victoza today I got told I had type 2 diabetes and they also put me on metformin and a strict diet I will do anything I can to get my a1c down mine is 8 and reading all the things people said really helped me thanks everyone
I was started on Metfirmin and started having problems with my hands peeling and then my feet started peeling come to find out it contains some sulfer and I am allergic and cannot take! To bad because it controlled my blood sugars great!
I had an allergy to sulfur drugs also and that’s what put me in the hospital with lactic acidosis. Scary. I take Januvia now and am doing better and am glad to be off the insulin.
I was put on metformin last August and had the lactic acid reaction that almost took my life. I did not have any existing medical problems at the time. Please put stronger precautions on these medications. I was told if I had taken the fourth pill I would have probably not made it. Thank God my husband was home and rushed me to the hospital where my sugar had sky rocketed to over 1000. I spent a week in a hospital recovering. I am on. Different medication now and I have lost 60 pounds and my A1c is only 5.5.
What was the different medication that you were prescribed? I currently take 1000mg twice a day. Thanx
Good morning. I am currently dealing with psoriatic arthritis and my rhuematologist is closely monitoring various labs, A1C being one of them…and it’s been creeping up. Given family history x 2 of diabetes, I am quite concerned. As if a diabetic diet weren’t bad enough, I am allergic to wheat and soy and almonds. So trying to find anything palatable to eat is looking pretty hopeless right now. Any recommendations…?
A diabetic diet is awesome Sharon, it’s super healthy and exactly what our body needs! We don’t recommend wheat and soy anyway, they are too high in carbs for most people to tolerate. And as for almonds, there are plenty of other nuts to choose from. Check out some of our recipes, they are all in line with what you need to eat.
Thanks for all the helpful tips. I’ve just started on this medicine two weeks ago. I’ve lost 8lbs so far. I take 2 500mg twice a day. I haven’t had any side effects.
Thanks!
Hi well I took Metformin for about 2 years and it was the worst experience that I had. I had constant diahrrea. I had to finally stop taking it. I am glad that it has helped others. But it just wasn’t meant for me. Good luck to all who are taking it.
I also couldn’t take it. Caused excruciating pain on my left side. I couldn’t even stand up straight. Tried half a pill, a fourth of a pill, extended release…no matter.
This article might be true if you take Medformin because you are diabetic. I was prescribed Medformin for my Polycystic Ovarian Syndrome (PCOS) and I was not diabetic. I took Medformin for nearly 15 years before I resorted to gastric bypass surgery. Medformin not only caused me gastric pain, discomfort and constant diarrhea for 15 years but contributed to my weight gain. My gastric bypass surgery five years ago put my PCOS in remission immediately after surgery. Since then I’ve discovered I’m hypoglycemic which I probably was before I started taking Medformin.
Hi Kris, you’re right, this article is aimed specifically at type 2 diabetics. Thanks for sharing your story and glad you finally found the issue.
The article regarding metformin was interesting and useful. Such information is always appreciated.
Thank you.
Sincerely,
steven
Glad you found it helpful Steven. :)
Very good info and I was happy to see your recommendation to titrate the dosage. I think a lot of people give up on metformin because of the gi problems. I know I did when it was first prescribed for me. Many years later I figured this out: take 250mg for 5 days, then 500mg for 5 days and continue until I’m at the recommended dosage. It really is the best medicine.
You got it!
I just started today with metformin are there any vitamin supplements that interfere with the metformin?
There are no supplements that I’m aware of that would interfere with metformin, however it taking it can result in B12 deficiency in some so you may want to get your levels checked and consider taking a B12 supplement to ensure you have adequate levels.
Thank you so much for this article. I just started taking this yesterday and I was wondering about some of the side effects. This explains a lot!
Great!!! You are more than welcome :-) Hopefully if there are any, they will subside very soon–if not, be sure to check in with your physician.
Very helpful first time I have read this I am a type 2 diabetic and found the information useful .
That’s great Wendy and welcome :)
I was diagnosed with Type II diabetes in April 2015. I initially was on Metformin 500mg twice daily. Doctor had me add Magnesium oxide 400mg with each meal and if tolerated to take more than three times per day. I asked to get changed to Metformin 500mg extended release twice daily to cut down on GI effects. I have notice since being on the extended release Metformin that my weight loss has plateaued and I am at a standstill. My weight fluctuates by plus or minus 5lbs. by the scale. I have noticed my energy levels have dropped also…feeling very tired. I am unable to exercise much due to a left hip and knee issue. I am very physically active at my job on my feet for 8 hours with non-stop movement and activity. Any suggestions? I want to take supplements but have occasional issues with GI tract. What recommendations would you make?
Hi Jill!
A few thoughts-one question is how long did you take the Metformin before switching to the ER? Usually symptoms associated with GI start to wane after a couple of weeks. If it was longer than that and you were still having GI distress, there are a couple of things to ask your physician about (I am not advising you do, but simple discuss with your doctor)–one option would be to cut the Metformin dose in 1/2 (so you would take 250 mg) if you are pretty well controlled and try to gradually increment it upward. I would also ensure you are taking the Metformin with meals. I doubt your plateau is related to the medication switch as it is the same basic formula just a different release time–Metformin is not a weight loss medication itself, that is simply one of it’s effects in some people (and the effect is relatively small) so it may be the case that you would have plateaued regardless. If you are very active at your job, maybe consider counting your calories a few days….sometimes people who start counting carbs ONLY find that they are eating too many high fat foods and end up taking in more calories than they are burning (consider an avocado 240 calories or 2 T peanut butter 190 calories–very healthy options, but can add up quickly). A last consideration would be to discuss a different medication with your doctor. GLP-1s (ie Victoza) are excellent at controlling glucose and very helpful with weight loss. The downside is they are more expensive and injectable (but not insulin). Hope that gives you some things to consider!
Thanks for all the good lnformation
Glad you found it helpful Charlene :)
I appreciate the info. I’ve been on Metrormin 1000mg twice daily for about 20 years. I’m 66 years old weigh 150 lbs. and run 2 to 3 miles outside everyday. My A1c is 7.3. If the newcomers keep their weigh down and take their meds they will enjoy a “normal” life. If I could only grow hair on my head again. Thanks for the encouraging responses. Jim
Glad you found it helpful James. :)
Wow….2-3 mile run every day at 66? Kudos!!!!
I also have a hair loss problem. I’m wondering if its the metformin. I’m on 2000mcg. I do wonder…
It’s very unlikely–I’ve not heard of anyone in my clinical practice or read in any literature of hair loss as being a side effect of metformin and wouldn’t make sense based on the action of the medication (of course it’s always possible you are sensitive to particular ingredients contained). It may be the case that you have some hormonal dysregulation (of which diabetes is one example/type) such as hypothyroidism or PCOS which can cause hair loss. I would recommend discussing with your healthcare practitioner who can do a more thorough assessment.
Thank you for sharing thisinformation. I just began taking Metformin about a month ago. Is it imperative to take Metformin before your meal? SometimesI forget and take in the middle of my meal or just after.
Thank you.
Hi April!!! Great question! The primary reason for taking Metformin with a meal is that the medication can be rough on your GI tract (causing stomach upset). Taking it with food helps minimize or eliminate that. The most important thing is that you are taking it consistently from day to day to get the most benefit. Metformin does not change the amount of insulin you produce or use, so will not (by itself) put you at risk for hypoglycemia (which IS the case in many other medications and insulin in which the timing is more imperative). As long as you are taking it with a meal, you should be just fine (whether that is just before, during, or right after).
We wete taught in nursing school that to be most effective it should be taken 20-30 min priot to eating.
The prescription will generally say take with meals. The time it is taken (with regard to meals) will not have an impact on it’s efficacy because it’s action is on the liver and muscle glucose stores and improving insulin sensitivity (not addressing glucose from meals). The purpose of taking at meal times is to reduce GI symptoms, not to make it more or less effective.
Most M.D.’s are prescribing Metformin ER which is the extended release version so it’s not that important as to when it is taken.
Hi! Im just curious about it!
Should I take metformin always on the same time everyday or it doesn’t matter which time as long as after meal?
The doctor I asked said it has to be on the same time but I can’t commit.
If your doctor advised to take it at the same time everyday, then that’s how you should take it. Physicians are the best person to advise about your medication.
I went in today to review blood work that was perform elsewhere. My fasting glucose last week (day of blood work) was 139, a1c of 6.8. A year ago glucose was 111 with a1c of 6.5. Beginning november up to now i slacked off, and ate bad bc of holidays and birthdays. Today my glucose reading was 113. Doctor prescribed this medication 500mg 2xs a day. I am on edge about this bc i see it as the beginning of never ending medications. I do not want to take medications no matter how low of a dosage it is. Doc claims ppl also take it for losing weight. Reason why i refuse to take medication a few yra back my a1c was 6.0 glucose 111 within 8 months i retest i dropped my a1c down to a 5.3 glucose of 110. Do you think with my numbers today, i can manage to lower my numbers down withOUT taking the medication? Or do you recommend going further with the RX?
Sorry, we can’t give you medical advice Jay.
113 isn’t overly high and can probably be brought back under control by diet and exercise, people with much higher readings bring theirs down. I understand how you feel though, and I agree, though meds do work for some people, taking meds can sometimes be a downward spiral. Perhaps you could seek a second opinion or talk to your doctor and tell them you want to try to lower it yourself with lifestyle and ask your doctor to support you by giving you a 3 month leeway to bring it down without the meds?
You might find this case study useful https://diabetesmealplans.com/7145/t2-low-carb-diabetic-diet-case-study/
Will do, it will take time and adjustment. I have a follow up within a month but that seems too short of a time to show some progress. I greatly appreciate your input I love this site, info and your replies. :)
Yes Jay, things do take a bit of time but in a month you should see your numbers come down. Focus right in on your carb intake – limit rice, potatoes, pasta, bread etc – all the high carb foods. And get at least 15 minutes a day of exercise, even a walk will do. Another thing that works well post meal are some squats. Just do 10-20 after a meal. Great way to get incremental exercise. ;)
Thanks for the compliments and let me know how you go.
I can totally understand your concern & frustrations. While this should be a shared decision between you and your physician, remember that lifestyle changes (diet and exercise), while being absolutely crucial, in some people, aren’t sufficient alone to maintain stable blood glucose – everyone is different. Diabetes is a progressive disease, meaning your pancreas function will continue to decline regardless of what you do–our goal with lifestyle changes is to SLOW that decline as much as we can. That said, it can be more difficult for some to control glucose levels with diet and exercise alone the longer they’ve had the condition. I know MANY patients who have been on Metformin alone for well over 10 years and no need for additional meds as well as some who have obtained such tight control that they have gone “off” the Metformin. Regardless of what you decide with your doctor what to do in terms of medication, you can see this as a red flag as to how important it is to avoid slacking off with diet & exercise & how important they are to your health!!!
It’s true, everyone is different but there is very strong evidence that eating a low carb diet slows type 2 diabetes right down and even stops it in it’s tracks – this case study last year is a case in point. And a new study by CSIRO released this year showed a 40% reduction of meds in the low carb diet group. Or this research comparing low carb to low fat.
When it comes to the pancreas, the reason why the low carb diet is getting great results is basic biochemistry. Carbohydrate foods cause the pancreas to release insulin, and too much insulin increase insulin resistance. So naturally, when we lower carb intake, we have less glucose in the bloodstream, less insulin production, and insulin sensitivity improves. So all round there can be major changes on a metabolic level.
That’s not to say it works for everyone or that you should feel guilty if you do have to take meds. Everyone is different so although we have research to help guide our choices, we also need to listen to our own bodies and work with our health care team to achieve the best results.
I’m on 500mg of Metformin daily and so far no side effects. I have lost about 15lbs since this T2 started last September. Diet changes, daily workouts at the gym and maybe the med’ contribute to the loss. Took a reading yesterday morning and I was at 5.0
Awesome work Brewster. Congrats :)
That’s wonderful!!! It really is a great firstline medication–glad to see you aren’t looking at the med as a panacea, but rather using it in combination with smart lifestyle choices. Those will carry you much further than the medication alone!!! Keep up the good work :-)
Hi, I just started using metformin 500 mg 2x a day for about 4 days now. My blood sugar went down but not in normal range yet especially 2 hours after meal. Is this normal? How long do I have to wait before it normalizes? Now, I’m thinking I am underdose. Thanks
Results vary from person to person. It can take anywhere from a few days to a few weeks to notice improvements. Here are 20 Q&As about Metformin that you may find helpful. And lastly, do NOT change your dose of medication without your doctors consent- give your body a bit more time to adjust to the medication and discuss your concerns with him or her at your next appointment.
I’ve been taking this medicine over a year now and i have lost weight abot 50 pounds.
Can you stop taking metformin after reaching your goal?
Yes, many people do come off metformin Rochelle. But it is something you should discuss with your doctor.