1. Is it suitable for all patients with type 2 diabetes?

Metformin is widely used, and children above 10 can eat it.

However, pregnancy, alcoholism, vitamin B 12 deficiency, metabolic acidosis and renal insufficiency are not suitable for taking metformin.

2. Can it be used for patients with 1 type diabetes?

Sure！ When insulin alone is ineffective, metformin can be added.

Note: In patients with type 1 diabetes, metformin alone cannot lower blood sugar.

3. Eat before or after meals?

Ordinary film: before, during and after meals, as long as it is not too far away from the meal time.

Enteric-coated tablets: it is recommended to take them half an hour before meals, which can quickly enter the intestine to take effect. Taking it after meals will affect the absorption of enteric-coated tablets.

4. Is it normal to feel sick after eating?

The incidence of gastrointestinal discomfort is 10%-20%, such as nausea, metallic taste in the mouth and diarrhea. , and should be adjusted under the guidance of a doctor or pharmacist.

Be wary of taking medicine before symptoms such as discomfort, sudden nausea, fatigue and headache. It may be lactic acidosis, which is life-threatening. See a doctor as soon as possible!

5.i missed it. Do you need me to make it up?

Take it as soon as you think of it, and the total daily dose is the same as usual.

Diabetic patients taking a fixed dose of metformin every day can achieve a stable blood concentration, thus playing a role in lowering blood sugar.

6. What if the effect is not good?

It is recommended to take it from 0.5g/ time, 1 time/day, and the frequency of taking medicine can be increased according to the blood sugar monitoring effect.

Note: Metformin can't be added in unlimited quantities, and it is generally recommended to eat 2g at most every day. If the effect is still not satisfactory, you can add another hypoglycemic drug under the guidance of a doctor.

7. Can you replace acarbose?

Can't! The mechanism of action and hypoglycemic effect of the two drugs are different.

However, if you forget to bring metformin when you go out, it is ok to switch to acarbose occasionally.

8. Will eating for a long time damage the kidneys?

Don't! Most of the renal damage in diabetic patients is caused by hyperglycemia, which leads to renal microangiopathy.

It is suggested that metformin is mainly excreted through the kidney, and the serum creatinine value is 132 for men and 123 for women. Metformin is not recommended.

9. Can I drink?

Can't! Alcohol affects liver metabolism, which will reduce the ability of liver to remove lactic acid and increase the risk of lactic acidosis.

At the same time, alcohol will affect the normal release of liver glycogen and increase the risk of hypoglycemia.

10. Can you lose weight?

Can't! The indications for metformin do not include weight loss.

The survey shows that the average weight loss of China people who take metformin is only 65438±0.88kg, and the weight loss effect is not obvious.

1 1. Can I take it with birth control pills?

Be careful! Estrogen in contraceptives can increase blood sugar, and the combination of the two may have an impact on blood sugar control.

In addition, special attention should be paid when combined with drugs such as thyroxine, morphine and warfarin.