What should I watch out when taking metformin?

If you experience any of the following symptoms, stop taking metformin and call your doctor immediately: extreme tiredness, weakness, or discomfort; nausea; vomiting; stomach pain; decreased appetite; deep and rapid breathing or shortness of breath; dizziness; lightheadedness; fast or slow heartbeat; flushing of the ...


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.

What should be monitored while taking metformin?

Monitoring for any oral antidiabetic agent includes fasting blood glucose, postprandial blood glucose, and hemoglobin A1C (HbA1c) every 3 to 6 months. Vitamin B12 deficiency can sometimes occur with long-term metformin use.


What should I avoid while taking metformin?

As much as possible, avoid white bread, white rice, white pasta, candy, soda, desserts, and snacks like chips or crackers. Eating foods that can spike your blood sugar will not necessarily make the metformin not work, however, it will increase the burden it has to work against.

What are the two most common side effects of metformin?

Common side effects
  • Feeling sick (nausea) Take metformin with food to reduce the chances of feeling sick. ...
  • Being sick (vomiting) Take small, frequent sips of water or squash to avoid dehydration. ...
  • Diarrhoea. ...
  • Stomach ache. ...
  • Loss of appetite. ...
  • A metallic taste in the mouth.


What To Avoid When Taking Metformin | Drug Interactions | Pharmacology



How can you tell metformin is working?

How to check if metformin is working. A medical provider can run a few tests to see how metformin is affecting your health: Blood work can check if your glucose, insulin, and HbA1C levels are in range. If they are, the medication is working.

What does metformin do to your insides?

Metformin lowers your blood sugar levels by improving the way your body handles insulin. It's usually prescribed for diabetes when diet and exercise alone have not been enough to control your blood sugar levels.

At what A1C level should you start 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.


What 10 foods should diabetics avoid?

10 foods to avoid if you have diabetes
  • Processed meats. ...
  • Full-fat dairy products. ...
  • Packaged snacks and processed baked goods. ...
  • White carbohydrates. ...
  • Sweetened breakfast cereals. ...
  • Dried fruits. ...
  • French fries. ...
  • Higher-fat cuts of meat.


When Should metformin be avoided?

This medicine is not recommended in patients 80 years of age and older who have kidney problems.

Does metformin need monitoring?

The American Diabetes Association as well as the American Association of Clinical Endocrinologists and American Clinical Endocrinologists also recommend periodic monitoring of vitamin B12 levels for patients using metformin.


What are 3 common indications for metformin?

2. Indications
  • 2.1 Type 2 diabetes mellitus (T2DM) ...
  • 2.2 Prediabetes. ...
  • 2.3 Type 1 diabetes mellitus (T1DM) ...
  • 2.4 Gestational diabetes mellitus (GDM) ...
  • 2.5 Polycystic ovary syndrome (PCOS) ...
  • 2.6 Antitumor or antiaging effect of metformin. ...
  • 2.7 Cardiovascular or neuroprotective effects. ...
  • 2.8 Antipsychotic-induced weight gain.


Is metformin hard on your heart?

Recent studies have also found that metformin has a positive effect on cardiovascular protection [8,9,10,11,12]. Metformin also lowers risk factors for cardiovascular disease such as blood fats [13,14,15], body weight and blood pressure.

Why is metformin high alert?

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.


What is the benefit of taking metformin at night?

The administration of metformin, as glucophage retard, at bedtime instead of supper time may improve diabetes control by reducing morning hyperglycemia.

What is the number 1 vegetable to avoid?

Cruciferous Vegetables

Vegetables that belong to the cabbage family such as cauliflower, Brussels, broccoli, and sprouts should never be consumed raw. These vegetables contain sugar that is difficult to digest. Eating these vegetables raw may lead to a number of gastronomical problems.

What foods are unlimited for diabetics?

You can view the entire list here.
  • Carbonated water.
  • 1 Tbsp. unsweetened cocoa powder.
  • Coffee or tea.
  • 1 cup raw cabbage.
  • Hard, sugar-free candy.
  • 1 cup raw cucumber.
  • 2 Tbsp. whipped topping.
  • 1 cup raw salad greens and lettuce.


What junk food can diabetics eat?

Best fast-food options for people with diabetes
  • Taco Bell Veggie Bowl. Photo: Taco Bell.
  • Burger King Whopper Junior. Photo: Burger King.
  • Chipotle Salad. Photo: Chipotle.
  • Starbucks Protein Box. Photo: Starbucks.
  • McDonalds Filet-o-fish. ...
  • Panera sandwich. ...
  • Wendy's Grilled Chicken Wrap. ...
  • Rotisserie Chicken Sandwich Subway.


At what A1C level are you considered diabetic?

Your A1C Result

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.

What is the ideal A1C for a type 2 diabetes?

The goal for most adults with diabetes is an A1C that is less than 7%. If your A1C level is between 5.7 and less than 6.5%, your levels have been in the prediabetes range. If you have an A1C level of 6.5% or higher, your levels were in the diabetes range.


What is a normal A1C for a type 2 diabetes?

An A1c goal of between 7% and 8% is reasonable and beneficial for most patients with type 2 diabetes… … though if lifestyle changes can get that number lower, then go for it.

What organ is affected by metformin?

The human pharmacokinetic data point to the liver, kidney and intestines as the key target organs of metformin and in this review we will primarily focus on the liver and intestines, particularly when referring to the beneficial impact of metformin on metabolism and inflammation.

What fruits should diabetics avoid?

Diabetics should avoid fruits with a high GI or eat them in moderation so that their blood sugar levels do not spike abruptly. Pineapple, watermelon, mango, lychee, and banana have a high GI, so these are the worst fruits if you are diabetic.


What metformin makes you feel?

Metformin does cause side effects in some people, but many of these are mild, and are associated with taking the medicine for the first time. Nausea and gastric distress such as stomach pain, gas, bloating, and diarrhea are somewhat common among people starting up on metformin.
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