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

Metformin has a wide range of applications, and children over/kloc-0 can eat it.

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

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

Can! When insulin alone is not effective, metformin can be added.

Note: Patients with type 1 diabetes cannot use metformin alone to reduce blood sugar.

3. Eat before meals 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 it half an hour before meals, which can quickly enter the intestine and 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, diarrhea, etc., and the medication should be adjusted under the guidance of a doctor or pharmacist.

Be wary of taking medicine before without discomfort, sudden nausea, fatigue, headache, etc., which may be lactic acidosis, which is life-threatening. See a doctor as soon as possible!

5. I missed it. Do I need to make it up?

When you think of it, take it immediately, and the total daily dose is the same as usual.

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

6. What should I do if the effect is poor?

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

Note: Metformin can not be added indefinitely, and it is generally recommended to eat up to 2g per day. If the effect is still unsatisfactory, you can add another drug to reduce blood sugar under the guidance of a doctor.

7. Can you substitute 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 once in a while.

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

No! Most of the renal injuries in diabetic patients are caused by high blood sugar, which leads to renal microvascular lesions.

It is suggested that metformin is mainly excreted through the kidney, and the serum creatinine values are male 132 and female 123, so 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 indication of metformin does not include weight loss.

Investigation shows that the average weight loss of China people who take metformin is only1.88kg, and the weight loss effect is not obvious.

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

Be careful! Estrogen in contraceptives can raise 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.