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metformin, met-for-min, treat a type, diabetes mellitus, sugar diabetes, type 2 diabetes, with this type, diabetes, insulin produced by the pancreas is not able to get sugar into the cells, the body where it can work properly, using metformin alone, with a type, oral antidiabetic medicine, a sulfonylurea, with insulin will help to lower blood sugar when, too high and help restore the way you use food to make energy, many people can control type 2 diabetes with diet alone, diet and exercise, following a specially planned diet and exercising will always be important when you have diabetes, even when you are taking medicines, to work properly, metformin you take, balanced against the amount and type, food you eat, amount, exercise you do, change my diet, exercise, both, will want to test my blood sugar, too low, health care professional will teach you what to do if this happens, at some point, may stop working as well, blood glucose will increase, will need to know if this happens and what to do, taking more, change to another antidiabetic medicine, that does not lower my blood sugar, consult doctor before you stop taking the medicine and begin receiving insulin injections instead, metformin does not help patients who have insulin-dependent, type 1 diabetes because they cannot produce insulin from their pancreas gland, their blood glucose is best controlled by insulin injections, metformin, dosage form oral, tablets, for metformin, allergic reaction to metformin, allergic to any other substances, foods, preservatives, dyes, metformin has not been shown to cause birth defects , other problems in humans, metformin is not used during pregnancy, control my blood sugar by diet, by a combination, diet and insulin, especially important for my health, baby's health, blood sugar be closely controlled, close control, blood sugar can reduce the chance, baby gaining too much weight, having birth defects , having high, low blood sugar , be sure to tell a physician if you plan to become pregnant, think you are pregnant, when breast-feeding , not known whether metformin passes into human breast milk, most medicines pass into breast milk in small amounts, used safely while breast-feeding , mothers, taking this medicine and who wish to breast-feed, children metformin tablets, tested in children older than 10 years old, in effective doses, not been shown to cause different side effects, in adults, studies with metformin extended-release tablets, done only in adult patients, in children with use in other age groups, use in older adults is similar to use in adults, younger age, blood vessel disorders, kidney problems, health care professional may adjust my dose, tell, consult doctor before you stop taking this medicine, an interaction might occur, change the dose, do not take any other medicine unless prescribed, approved by a physician, when you are taking metformin, health care professionals, alcohol, small amounts, alcohol taken with meals do not usually cause a problem, larger amounts, alcohol taken for a long time, a large amount, alcohol taken in one sitting without food can increase the effect, metformin, keep the blood sugar low for a longer period, time than normal, amiloride, midamor, calcium channel blocking agents, amlodipine, norvasc, bepridil, bepadin, diltiazem, cardizem, felodipine, plendil, flunarizine, sibelium, isradipine, dynacirc, nicardipine, cardene, nifedipine, procardia, nimodipine, nimotop, verapamil, calan, cimetidine, tagamet, digoxin, heart medicine, furosemide, lasix, morphine, m s contin, procainamide, pronestyl, quinidine, quinidex, quinine, malaria medicine, ranitidine, zantac, triamterene, dyrenium, trimethoprim, proloprim, vancomycin, vancocin, use with metformin, high blood levels, metformin, which may increase the chance, low blood sugar , side effects other medical problems, metformin, any other medical problems, acid, blood, ketoacidosis, lactic acidosis, burns, severe, dehydration, diarrhea, severe, female hormone changes for some women, during puberty, menstruation, fever, high, infection, severe, injury, severe, ketones, urine, mental stress, severe, overactive adrenal gland, not properly controlled, problems with intestines, severe, slow stomach emptying, surgery, major, vomiting, any other condition that causes problems with eating, absorbing food, any other condition in which blood sugar changes rapidly, metformin in many cases will be replaced with insulin by a physician, possibly only for a short time, insulin is best to help control diabetes mellitus in patients with these conditions that without warning cause quick changes, blood sugar, heart, blood vessel disorders, kidney disease , kidney problems, liver disease , lactic acidosis can occur in these conditions and chances, it occurring are even greater with use, metformin, kidney, heart, other problems that require medical tests, examinations that use certain medicines, contrast agents, with x-rays, metformin should be stopped before medical exams, diagnostic tests that might cause less urine output than usual, passing unusually low amounts, urine may increase the chance, a build-up, metformin and unwanted effects, metformin, restarted 48 hours after the exams, tests if kidney function is tested and found, normal, overactive thyroid, not properly controlled, underactive thyroid, not properly controlled, until the thyroid condition is controlled, can change the amount, type, antidiabetic medicine you need, underactive adrenal gland, not properly controlled, underactive pituitary gland, not properly controlled, undernourished condition, weakened physical condition, any other condition that causes low blood sugar , patients who have, conditions, more likely to develop low blood sugar , which can affect the dose, metformin you need and increase the need for blood sugar testing, use this medicine as directed, feel well and do not notice any signs, high blood sugar , and do not take it more often, serious side effects, remember that this medicine will not cure my diabetes, it does help control it, must continue, take it as directed if you expect to lower my blood sugar and keep it low, take an antidiabetic medicine for the rest, life, high blood sugar is not treated, it can cause serious problems, heart failure , blood vessel disease, eye disease, kidney disease , a physician will give you instructions about diet, exercise, test my blood sugar, adjust my dose when you are sick, blood sugar tests: testing for blood sugar is the best way to tell whether my diabetes is being controlled properly, blood sugar testing helps you, health care team adjust my antidiabetic medicine dose, meal plan, exercise schedule, diet: the daily number, calories, in my meal plan should be adjusted by a physician, a registered dietitian to help you reach and maintain a healthy body weight, regular meals and snacks are arranged to meet the energy needs, body at different times, the day, carefully follow my meal plan, exercise: ask a physician what kind, exercise to do, the best time to do it, how much you should do each day, fluid, water, replacement, important to replace the water, fluid, body uses, less urine output than usual, severe diarrhea that lasts for more than 1 day, sick days, when you become sick with a cold, fever, the flu, need, take my usual dose, metformin, feel too ill to eat, this is especially true, nausea, vomiting, diarrhea, infection usually increases my need to produce more insulin, sometimes you may need, switched from metformin to insulin for a short period, sick to properly control blood sugar, call a physician for specific instructions, especially if severe, prolonged vomiting occurs, continue taking my metformin and try to stay on my regular meal plan, trouble eating solid food, drink fruit juices, nondiet soft drinks, clear soups, eat small amounts, bland foods, a dietitian, health care professional can give you a list, foods, amounts to use for sick days, test my blood sugar and check my urine for ketones, ketones are present, call a physician at once, even when you start feeling better, let a physician know how you are doing, for patients taking a long-acting form, swallow the tablets whole, do not crush, chew before swallowing, metformin will be different for different patients, follow a physician's orders, the directions on the label, the average doses, metformin, dose is different, the number, tablets, take depends on the strength, the number, doses you take each day, the time allowed between doses, time you take the medicine depend on the amount, sugar, in my blood, urine, for oral, dosage form, tablets, for type 2 diabetes, for patients taking metformin tablets, metformin alone: at, 500 milligrams, two times a day taken with the morning and evening meals, 850 mg a day taken with the morning meal, then, a physician may increase my dose a little at a time every week, every other week, later, take 500, 850 mg two to three times a day with meals, metformin with a sulfonylurea: a physician will determine the dose, each medicine, metformin with insulin: at, 500 mg a day, then, a physician may increase my dose by 500 mg every week, children up to 10 years, children 10 years, age and over, 500 milligrams, with my morning meal and 500 mg with my evening meal, then, a physician may increase my dose a little at a time every week, for patients taking metformin extended-release tablets, adults and teenagers, metformin alone, glucophage, er, 500 milligrams, once daily with the evening meal, then, a physician may increase my dose a little at a time every week, need more medicine, a physician may tell, than one dose a day.metformin alone, glumetza, 1000 milligrams, once daily with the evening meal, then, a physician may increase my dose a little at a time every week, need more medicine, a physician may tell, than one dose a day, metformin with a sulfonylurea: a physician will determine the dose, each medicine, metformin with insulin: at, 500 mg a day, then, a physician may increase my dose by 500 mg every week, children up to 17 years, if i miss a dose, almost time for my next dose, skip the missed dose, back to my regular dosing schedule, do not double doses, keep out of a child's reach, store away from heat and direct light, keep the medicine from freezing, do not refrigerate, do not keep outdated medicine, medicine no longer needed, discarded medicine is out of a child's reach, precautions, know the side effects, progress at regular visits, especially during the first few weeks, take this medicine, very important to follow carefully any instructions from my health care team about, alcohol, drinking alcohol, very low blood sugar , discuss this with my health care team, do not take other medicines unless they, discussed with a physician, this especially includes nonprescription medicines, aspirin, medicines for appetite control, asthma, colds, cough, hay fever, sinus problems, counseling, other family members need to learn, prevent side effects, help with side effects if they occur, counseling on birth control and pregnancy, the problems that can occur in pregnancy for patients with diabetes, travel, carry a recent prescription, medical history, be prepared for an emergency as you would normally, make allowances for changing time zones, keep my meal times as close as possible to my usual meal times, emergency, a time when you need emergency help for a problem caused by my diabetes, need, prepared for these emergencies, a good idea to, wear a medical identification, i.d, bracelet, neck chain at all times, carry an i.d, card, in my wallet, purse that says, have diabetes and a list, all, a glucagon kit available in case severe low blood sugar occurs, check and replace any expired kits regularly, keep some kind, quick-acting sugar handy to treat low blood sugar , are scheduled to have surgery, medical tests that involve x-rays, should tell a physician, taking metformin, a physician will instruct, consult doctor before you stop taking metformin until at least 2 days after the surgery, medical tests, during this time, blood sugar cannot be controlled by diet and exercise, advised, take insulin, too much metformin, under certain conditions, can cause lactic acidosis, symptoms, lactic acidosis are severe and quick to appear and usually occur when other health problems not related to the medicine are present, very severe, a heart attack, kidney failure , symptoms include diarrhea, fast and shallow breathing, severe muscle pain, cramping, unusual sleepiness, unusual tiredness , weakness, symptoms, lactic acidosis occur, should check my blood sugar and get immediate emergency medical help, tell a physician if severe vomiting occurs, too much metformin also can cause low blood sugar , hypoglycemia, when, used under certain conditions, symptoms, low blood sugar , treated before they lead to unconsciousness, passing out, different people may feel different symptoms, low blood sugar , learn which symptoms, low blood sugar you usually have so, can treat it quickly, phone someone on my health care team right away when you need advice, symptoms, low blood sugar can include: anxious feeling, behavior change similar to being drunk, blurred vision , cold sweats, confusion, cool pale skin, difficulty in concentrating, drowsiness , excessive hunger, fast heartbeat, headache, nausea, nervousness, nightmares, restless sleep, shakiness, slurred speech, unusual tiredness , weakness, low blood sugar may develop quickly and may result from, delaying, missing a scheduled meal, snack, exercising more than usual, drinking a large amount, alcohol, taking certain medicines, also using insulin, a sulfonylurea, using too much, sickness, especially with vomiting, diarrhea, know what to do if symptoms, low blood sugar occur, eating some form, quick-acting sugar when symptoms, low blood sugar first appear will usually prevent them from getting worse, good ways to increase my blood sugar, using glucagon injections in emergency situations, unconsciousness, a glucagon kit available and know, prepare and use it, members, household also should know how and when to use it, eating glucose tablets, gel, sugar cubes, 6 one-half “inch size, drinking fruit juice, nondiet soft drink, 4 to 6 ounces, one-half cup, corn syrup, honey, 1 tablespoon, table sugar, dissolved in water, chocolate, the sugar in chocolate may not enter into my blood stream fast enough, this is because the fat in chocolate slows down the sugar entering into the blood stream, a meal is not scheduled for an hour, more, should also eat a light snack, crackers, half a sandwich, high blood sugar , hyperglycemia, is another problem related to uncontrolled diabetes, symptoms, mild high blood sugar appear more slowly than those, low blood sugar , check with my health care team, possible if you notice, look for symptoms, blurred vision , drowsiness , dry mouth, increased frequency and volume, urination, appetite, nausea, vomiting, stomachache, tiredness, unusual thirst, get emergency help right away if you notice, look for symptoms, flushed dry skin, fruit-like breath odor, ketones in urine, passing out, troubled breathing, rapid and deep, high blood sugar is not treated, severe hyperglycemia can occur, leading to ketoacidosis, diabetic coma, important to recognize what can cause the loss, blood glucose control, calling a physician early, important to prevent problems from developing when the following occur, high blood sugar symptoms may occur if you, a fever, an infection, using insulin, sulfonylurea, metformin and do not take enough, skip a dose, do not exercise as much as usual, take certain medicines to treat conditions other than diabetes that change the amount, sugar, in my blood, overeat, do not follow my meal plan, know what to do if high blood sugar occurs, a physician may recommend changes, in my antidiabetic medicine doses, meal plan to avoid high blood sugar , symptoms, high blood sugar , corrected before they progress to more serious conditions, check with a physician often to make sure you are controlling my blood sugar, do not change my dose without checking with a physician, a physician might discuss the following with you, delaying a meal if my blood glucose is over 200 mg/dl to allow time for my blood sugar to go down, an extra dose, metformin, an injection, insulin, needed if my blood sugar does not come down shortly, not exercising if my blood glucose is over 240 mg/dl and reporting this to a physician immediately, being hospitalized if ketoacidosis, diabetic coma occurs, side effects, along with its needed effects, some unwanted effects, side effects may occur, may need medical attention, check with a physician immediately if the following side effect occurs, lactic acidosis, quick and severe, diarrhea, fast shallow breathing, muscle pain, cramping, unusual sleepiness, unusual tiredness , weakness, possible if the following side effect occurs, low blood sugar , mild, anxious feeling, behavior change similar to being drunk, blurred vision , cold sweats, confusion, cool pale skin, difficulty in concentrating, drowsiness , excessive hunger, fast heartbeat, headache, nausea, nervousness, nightmares, restless sleep, shakiness, slurred speech, side effects may go away during treatment, body adjusts to the medicine, side effects continue, bothersome, appetite, metallic taste in mouth, passing, gas, stomachache, vomiting, weight loss, other side effects, additional information once a medicine has been approved for marketing for a certain use, experience may show, also useful for other medical problems, this use is not included in product labeling, metformin is used in certain patients with the following medical conditions, polycystic ovary syndrome other than, information, there is no additional information relating to, side effects for these uses, brand names, glucophage glucophage xr glumetza, apo-metformin gen-metformin glucophage glycon novo-metformin nu-metformin, category antihyperglycemic agent