Metformin (Glucophage) is an inexpensive drug used to treat high blood sugar levels caused by type 2 diabetes. It is more popular than comparable drugs. It is available in both brand and generic versions.
What is the most effective medicine for type 2 diabetes?
Most diabetes medications effectively lower blood sugar – The blood sugar goal for most adults with diabetes is an A1C of below 7%. (A1C is a measure of a person’s average blood sugar over a period of about three months.) In many people, diet and exercise are not enough to reach this goal, and one or more medications may be needed.
Metformin is a tried and tested medicine that has been used for many decades to treat type 2 diabetes, and is recommended by most experts as first-line therapy. It is affordable, safe, effective, and well tolerated by most people. When metformin does not adequately control blood sugar, another medication must be added.
It is at this point that doctors and patients must choose among the many drugs and drugs classes available to treat type 2 diabetes. In general, for people who are at low risk of heart disease or have no history of diabetic kidney disease, most diabetes medications that are added to metformin effectively reduce blood sugars and can lower A1C to under 7%.
What is the safest diabetic medication for type 2 diabetes?
Official answer. 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).
Can I stop taking metformin when my sugar back to normal?
Coming off medication in diabetes remission – Some people are able to stop taking diabetes medication like metformin, by putting their diabetes into remission, This means that blood sugar levels are in the non-diabetes range without needing any medication.
There are many ways people with diabetes have done this, but they mostly involve making changes to your diet and losing weight, It’s important to remember that this isn’t an option for everyone and isn’t an easy thing to do. If you’re thinking of making changes to your diet, it’s a good idea to speak to your healthcare team first.
We’ve got lots of information about diabetes remission so you can get all the facts. Jon was diagnosed with type 2 in 2013 and was given metformin. But after learning more about his condition, Jon started to address his weight. After a couple of months, he was able to gradually stop taking medication. “Realising I had to address my weight, I started swimming every day and walking as much as possible Within two months, I’d lost nearly 4 stone, my sugars had gone back to pre-diabetes levels and I was able to gradually stop taking metformin.” Jon was diagnosed with type 2 diabetes in 2013
What happens if you don t take medication for type 2 diabetes?
Complications of type 2 diabetes If diabetes isn’t treated, it can lead to a number of other health problems. High glucose levels can damage blood vessels, nerves and organs. Even a mildly raised glucose level that doesn’t cause any symptoms can have long-term damaging effects.
Can diabetics survive without medication?
Monitoring your blood glucose – Careful glucose monitoring is a vital part of controlling your diabetes. It can help you see the way your food, drink and activity affect your sugar levels. If you recognise patterns, you can improve your blood glucose levels, maintain your health and reduce your risk of developing diabetes complications,
Why do doctors not want to prescribe metformin?
What about side effects? – The safety profile for metformin is quite good. Side effects include nausea, stomach upset, or diarrhea; these tend to be mild. More serious side effects are rare. They include severe allergic reactions and a condition called lactic acidosis, a buildup of lactic acid in the bloodstream.
Does metformin damage liver?
Abstract – Objectives: To explore why some clinicians hesitate to use metformin in patients with liver disease and whether routine monitoring of transaminases before and during metformin therapy is substantiated. Data sources: A Medline literature search was conducted (1966 to June 2008) using the terms metformin, lactic acidosis, liver disease, chronic liver disease, hepatotoxicity, hypoxia, risks, and predisposing factors.
- Data synthesis: Manufacturer prescribing information and some current medical and lay press literature caution against metformin use in patients with liver disease.
- This recommendation is interpreted variably by different prescribers, with some believing that the caution implies metformin can cause or worsen liver injury.
Others believe that liver disease predisposes patients to developing lactic acidosis. A clearer understanding of how and when to screen for liver dysfunction in patients before and during metformin therapy is thus warranted. Conclusion: Metformin does not appear to cause or exacerbate liver injury and, indeed, is often beneficial in patients with nonalcoholic fatty liver disease.
- Nonalcoholic fatty liver frequently presents with transaminase elevations but should not be considered a contraindication to metformin use.
- Literature evidence of liver disease being associated with metformin-associated metabolic acidosis is largely represented by case reports.
- Most such patients had cirrhosis and were also actively using alcohol.
Patients with cirrhosis, particularly those with encephalopathy, may have arterial hypoxemia, which heightens the risk of developing lactic acidosis. For this reason, identifying patients with cirrhosis before initiating metformin seems prudent. Because cirrhosis can exist in the face of normal liver transaminases, however, and because metformin is not considered intrinsically hepatotoxic, withholding metformin from patients with abnormal transaminases or routinely monitoring transaminases before or during metformin treatment is not supported.