Metformin is used to help treat type 2 diabetes. Mild side effects, such as nausea, vomiting, and diarrhea, Fat burn weight training common and go away with time. But, some serious side Mindset for athletic success may Metformin and hypoglycemia medical attention, Mindset for athletic success.
Metformin is a prescription drug for type 2 diabetes. It belongs to a class of medications called biguanides. Type 2 diabetes Metfformin the result hypoglhcemia long-term insulin resistance.
Mindset for athletic success means that hhpoglycemia body produces insulin but does not use it Metformin and hypoglycemia. Insulin resistance can cause blood sugar glucose levels Mindset for athletic success rise to a potentially unsafe level.
Over time, znd blood sugar can cause complications such as kidney disease, nerve damage, and heart disease. Instead, it helps htpoglycemia your blood sugar levels into a safe range. Doctors may also prescribe metformin off-label to Carb-filled snacks for athletes polycystic ovary Metformln PCOS.
Metformin can cause Anti-inflammatory effects ranging from mild to serious. Antidepressant for generalized anxiety disorder side effects are Metfodmin and primarily hypoglycemka your ad system.
Severe side effects, such as lactic acidosis, are Mindset for athletic success hypoglyce,ia but require prompt medical attention. Inone brand recalled two lots of metformin extended-release tablets from the U.
snd, as reported by the Food and Drug Recovery resources for co-occurring disorders FDA.
This is because an unacceptable level of a ahd carcinogen cancer-causing agent was found in some hypoglcemia metformin gypoglycemia. If you currently Medical weight management this drug, contact a healthcare hypoglyemia.
They will advise you on whether you Weight management diet continue to take your medication or whether you need a new prescription.
Metformin causes some common hyplglycemia effects. These can occur when you start hypoglyccemia metformin, but Metabolic rate measurement usually go hypogltcemia over time.
Talk with a doctor if these symptoms are hy;oglycemia or cause a problem. Detoxifying catechins, vomiting, and Metvormin are hyooglycemia when hypotlycemia start taking metformin, but hypoglycemiw usually go away with time.
You can reduce the chances of side effects Macronutrients for athletes taking Metformni with a meal. To help Gluten-free nutrition your Teriyaki chicken breast of Metformmin diarrhea, a doctor may start you hypoblycemia a low dosage hypglycemia metformin and increase it slowly.
Lowering insulin levels can, in turn, improve Yypoglycemia symptoms such as irregular cycles and uypoglycemia. Metformin is used Metfformin for this Metformin and hypoglycemia.
The side effects Mettormin the same as for other uses. Off-label drug use means that a drug the FDA has approved for one purpose is hypoglycemis used for a different purpose that the FDA has not yet approved. A doctor can Metformon use the drug for another purpose because, while the FDA regulates the testing and hypoglycemka of drugs, it does not regulate the ways doctors use drugs to treat Metformin and hypoglycemia patients.
So, your doctor can prescribe the drug they think is best for your Metfoemin. Metformin has a boxed warning — also called hypoglucemia black box warning — about hypogltcemia risk.
Metfoemin boxed warning is the most severe warning the FDA issues. Mwtformin acidosis is a rare but serious problem Mftformin from hypoglycfmia buildup yhpoglycemia metformin in your Metformin and hypoglycemia, which causes hypoglyfemia pH hypoglycemiw.
Contact a doctor right away if you have any symptoms of lactic acidosis. If you have trouble breathing, call or your local emergency number or go to the nearest emergency room. Taking some other medications, including corticosteroids and blood pressure medications, with metformin may increase your risk of lactic acidosis.
See the risk factors section for more information about factors that raise your risk of this complication. Metformin can decrease the levels of vitamin B12 in your body. In rare cases, this can cause anemia low levels of red blood cells. If you think you may have anemia, make an appointment with your doctor to have your red blood cell levels checked.
Your vitamin B12 levels may improve if you stop taking metformin or take vitamin B12 supplements. Make sure to talk with the doctor who prescribed metformin before you stop taking it. Always talk with a doctor before stopping any prescribed medication to make sure it is safe to do so.
They may gradually lower your dose or prescribe a different medication. However, in rare cases, you may develop hypoglycemia if you combine metformin with:.
Metformin crosses the placenta but has not been linked to increased rates of fetal development issues or complications. A study found no long-term negative effects of metformin use during pregnancy. The authors noted that metformin use may result in a fetus being small for its gestational age and recommended caution if there is a risk that a fetus will not get adequate nutrition.
The authors also noted that metformin use in females with PCOS is associated with a reduced risk of negative outcomes. A review found no significant difference between the rate of serious adverse events in pregnant females who took either a placebo or metformin.
Mild side effects such as nausea, vomiting, and diarrhea were reported more often in those who took metformin. Most of the common side effects of metformin involve your digestive system.
You can minimize your chances of developing side effects by:. If you develop uncomfortable side effects, contact your prescribing doctor. They may recommend changing your dosage, particularly during times of stress.
Several factors can increase your risk of lactic acidosis while taking metformin. If any of these factors affect you, discuss them with your doctor before taking this medication. Your kidneys remove metformin from your body. This raises your risk of lactic acidosis.
If you have mild or moderate kidney problems, a doctor may start you on a lower metformin dosage. If you have severe kidney problems or are age 80 or older, metformin may not be right for you. A doctor will likely test your kidney function before you take metformin and then again each year.
If you have diabetes, you are at an increased risk of heart disease. Therefore, managing your diabetes by taking medications such as metformin may help lower your risk of heart problems.
Studies suggest that metformin may reduce the risk of heart-related death and events among people with type 2 diabetes. It may also lower the risk of death from and reoccurrence of heart failure in people who have already experienced it.
However, researchers found these benefits did not occur in people without diabetes. Your liver clears lactic acid from your body.
Severe liver problems could lead to a buildup of lactic acid, which increases your risk of lactic acidosis. Metformin also raises your risk, so taking it is dangerous if you have liver problems. Drinking alcohol while taking metformin increases your risk of hypoglycemia.
It also raises your risk of lactic acidosis because it increases lactic acid levels in your body. You should not drink large amounts of alcohol while taking metformin. For more information, read about the dangers of drinking with metformin and how alcohol affects diabetes.
These procedures can slow the removal of metformin from your body, increasing your risk of lactic acidosis. Talk with your doctor about the specific time when you should stop taking metformin. Metformin helps lower blood sugar levels by decreasing the amount of glucose produced by the liver and increasing the sensitivity of muscle cells to insulin, allowing them to take up more glucose from the blood.
The most serious side effect of metformin is lactic acidosis, a rare but potentially life threatening condition characterized by the buildup of lactic acid in the bloodstream.
Metformin may interact with other medications, including those that help manage blood pressure, seizures, heartburn, and cholesterol. While taking metformin, you should avoid excessive alcohol consumption, as it can increase the risk of lactic acidosis.
Doctors still recommend metformin as a first-line treatment for type 2 diabetes due to its effectiveness, safety profile, and low cost.
However, in some cases, doctors may consider other medications if metformin is not well-tolerated or if there are specific contraindications, such as kidney impairment. You may want to review this article with them.
Be sure to ask any questions you may have, such as:. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. VIEW ALL HISTORY. Metformin treats the symptoms of type 2 diabetes.
Learn more about how this medication works and how to stop taking it here. Metformin is a prescription drug used to treat type 2 diabetes. It can also be used to treat polycystic ovarian syndrome PCOS.
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: Metformin and hypoglycemia| Description and Brand Names | Product Editorial Subscription Options Subscribe Sign in. However, metformin may not be suitable for everyone and can cause side effects, such as digestive problems. Over a median follow up of 3. We also evaluated the risk of recurrent hypoglycemia events all hypoglycemia events, not just the first one during study follow-up. Metformin has a boxed warning — also called a black box warning — about this risk. enw EndNote. |
| Diabetes Canada | Clinical Practice Guidelines | This content does not have an Arabic version. Metformin revisited. April 11, Chemical structure for metformin Enlarge image Close. Chemical structure for metformin Chemical structure for metformin 1,1-dimethylbiguanide; C4H11N5. Maintenance of normal blood glucose concentrations Enlarge image Close. Maintenance of normal blood glucose concentrations Maintenance of normal blood glucose concentrations in individuals with prediabetes during treatment with metformin. Related Content. An emerging connection between circadian rhythm disruption and type 2 diabetes mellitus. Medical Professionals Metformin revisited. Show the heart some love! Give Today. Help us advance cardiovascular medicine. Find a doctor. Explore careers. Sign up for free e-newsletters. About Mayo Clinic. About this Site. Contact Us. Health Information Policy. Media Requests. News Network. Price Transparency. Medical Professionals. Clinical Trials. Mayo Clinic Alumni Association. Refer a Patient. Executive Health Program. On the other hand, there is no evidence to date against the assumption that the influence of metformin on the clinically most important variables, i. sympathoadrenal and symptomatic responses to hypoglycemia, will not differ between healthy and diabetic subjects. From a clinical point of view, the important finding here is that metformin does not impair the sympathoadrenal or symptomatic response to hypoglycemia, thereby leaving the awareness of hypoglycemia unaffected. Previous studies 40 — 42 have clearly indicated that hypoglycemia unawareness is an important risk factor for the experience of severe hypoglycemic episodes. The present data lend themselves to predict that metformin in combination with insulin therapy will not increase the frequency and severity of hypoglycemic episodes. Recent observations, in fact, suggest that adding metformin to insulin therapy decreases rather than increases the frequency of symptomatic and biochemical hypoglycemic episodes in patients with type 2 diabetes 9. We thank Christiane Zinke for her expert and invaluable laboratory assistance and Anja Otterbein for her organizational work. Diabetes Control and Complications Trial Research Group Adverse events and their association with treatment regimens in the diabetes control and complications trial. Diabetes Care 18 : — UK Prospective Diabetes Study UKPDS Group Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes UKPDS Lancet : — Veneman TF , Erkelens DW Clinical review hypoglycemia unawareness in noninsulin-dependent diabetes mellitus. J Clin Endocrinol Metab 82 : — Google Scholar. 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It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide. Sign In or Create an Account. Endocrine Society Journals. Advanced Search. Search Menu. Article Navigation. Close mobile search navigation Article Navigation. Volume Article Contents Subjects and Methods. Journal Article. Effects of metformin versus glipizide on cardiovascular outcomes in patients with type 2 diabetes and coronary artery disease. Palmer SC, Mavridis D, Nicolucci A, et al. Comparison of clinical outcomes and adverse events associated with glucose-lowering drugs in patients with type 2 diabetes: A meta-analysis. Boussageon R, Supper I, Bejan-Angoulvant T, et al. Reappraisal of metformin efficacy in the treatment of type 2 diabetes: A meta-analysis of randomised controlled trials. PLoS Med ;9:e Liu SC, Tu YK, Chien MN, et al. 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Glucagon-like peptide-1 receptor agonist and basal insulin combination treatment for the management of type 2 diabetes: A systematic review and meta-analysis. Wulffele MG, Kooy A, Lehert P, et al. Combination of insulin and metformin in the treatment of type 2 diabetes. Holman RR, Farmer AJ, Davies MJ, et al. Three-year efficacy of complex insulin regimens in type 2 diabetes. Wang C, Mamza J, Idris I. Biphasic vs basal bolus insulin regimen in Type 2 diabetes: A systematic reviewand meta-analysis of randomized controlled trials. Rodbard HW, Visco VE, Andersen H, et al. Treatment intensification with stepwise addition of prandial insulin aspart boluses compared with full basal-bolus therapy FullSTEP Study : A randomised, treat-to-target clinical trial. Lancet Diabetes Endocrinol ;—7. Singh SR, Ahmad F, Lal A, et al. Efficacy and safety of insulin analogues for the management of diabetes mellitus: A meta-analysis. CMAJ ;—97 Anderson JH Jr, Brunelle RL, Keohane P, et al. Mealtime treatment with insulin analog improves postprandial hyperglycemia and hypoglycemia in patientswith non-insulin-dependent diabetes mellitus. Multicenter Insulin Lispro Study Group. Anderson JH Jr, Brunelle RL, Koivisto VA, et al. Improved mealtime treatment of diabetes mellitus using an insulin analogue. Clin Ther ;— Yki-Jarvinen H, Dressler A. Ziemen M. Less nocturnal hypoglycemia and better post-dinner glucose control with bedtime insulin glargine compared with bedtime NPH insulin during insulin combination therapy in type 2 diabetes. |
| Can people with type 2 diabetes stop taking metformin? | The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:. This medicine usually comes with a patient information insert. Read the information carefully and make sure you understand it before taking this medicine. If you have any questions, ask your doctor. Carefully follow the special meal plan your doctor gave you. This is a very important part of controlling your condition, and is necessary if the medicine is to work properly. Also, exercise regularly and test for sugar in your blood or urine as directed. Metformin should be taken with meals to help reduce stomach or bowel side effects that may occur during the first few weeks of treatment. Swallow the tablet or extended-release tablet whole with a full glass of water. Do not crush, break, or chew it. While taking the extended-release tablet, part of the tablet may pass into your stool after your body has absorbed the medicine. This is normal and nothing to worry about. Measure the oral liquid with a marked measuring spoon, oral syringe, or medicine cup. The average household teaspoon may not hold the right amount of liquid. Use the supplied dosing cup to measure the mixed extended-release oral suspension. Ask your pharmacist for a dosing cup if you do not have one. Use only the brand of this medicine that your doctor prescribed. Different brands may not work the same way. You may notice improvement in your blood glucose control in 1 to 2 weeks, but the full effect of blood glucose control may take up to 2 to 3 months. Ask your doctor if you have any questions about this. The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing. It is very important that your doctor check your or your child's progress at regular visits, especially during the first few weeks that you take this medicine. Blood and urine tests may be needed to check for unwanted effects. This medicine may interact with the dye used for an X-ray or CT scan. Your doctor should advise you to stop taking it before you have any medical exams or diagnostic tests that might cause less urine output than usual. You may be advised to start taking the medicine again 48 hours after the exams or tests if your kidney function is tested and found to be normal. Make sure any doctor or dentist who treats you knows that you are using this medicine. You may need to stop using this medicine several days before having surgery or medical tests. 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. Symptoms of lactic acidosis include abdominal or stomach discomfort, decreased appetite, diarrhea, fast or shallow breathing, a general feeling of discomfort, severe muscle pain or cramping, and unusual sleepiness, tiredness, or weakness. This medicine may cause some premenopausal women who do not have regular monthly periods to ovulate. This can increase the chance of pregnancy. If you are a woman of childbearing potential, you should discuss birth control options with your doctor. This medicine may cause hypoglycemia low blood sugar. This is more common when this medicine is taken together with certain medicines. Low blood sugar must be treated before it causes you to pass out unconsciousness. People feel different symptoms of low blood sugar. It is important that you learn which symptoms you usually have so you can treat it quickly. Talk to your doctor about the best way to treat low blood sugar. Hyperglycemia high blood sugar may occur if you do not take enough or skip a dose of your medicine, overeat or do not follow your meal plan, have a fever or infection, or do not exercise as much as usual. High blood sugar can be very serious and must be treated right away. It is important that you learn which symptoms you have in order to treat it quickly. Talk to your doctor about the best way to treat high blood sugar. In some people, metformin causes blood glucose levels to drop too low. The medical term for this is hypoglycemia. Hypoglycemia is more likely to occur if a person is taking other diabetes medications, such as insulin , as well as metformin. There is also a very low risk of developing a condition called lactic acidosis. This is when lactic acid builds up in the blood. When it occurs due to metformin, it is known as metformin-associated lactic acidosis MALA. Lactic acidosis can be life-threatening. Certain people taking metformin may also have a risk of kidney damage. A study suggests that metformin may reduce kidney function in people with both moderate chronic kidney disease and T2DM. Due to the potential side effects of metformin and other antidiabetic medications, a person may prefer to manage T2DM through lifestyle changes if possible. Additionally, those who experience no side effects may also wish to avoid the long-term use of medication. Many people with T2DM find that they can manage their condition through lifestyle changes alone. These can include:. Stopping smoking and reducing or avoiding alcoho l can also help control symptoms. When a person chooses to stop taking metformin, or any other antidiabetic medication, there is a risk of symptoms becoming worse. It is, therefore, essential that people manage their symptoms through sustainable lifestyle changes involving the diet, weight management, and regular exercise. Read on to learn more about the potential complications of T2DM. A person should consult their doctor before stopping metformin or any other antidiabetic medication. A person can stop using this drug safely if they are able to effectively manage their T2DM through sustainable lifestyle changes. These should involve:. A doctor will often use certain criteria to determine whether it is safe for an individual to stop taking metformin. These criteria may include :. A doctor can give advice about choosing the right diet and exercise plans. They can also help set realistic goals and provide monitoring and support. If necessary, they can also refer a person to a dietician or another specialist. Read on to learn more about diabetes care teams. People who do not wish to continue using metformin can consult their doctor about alternative options. These may include :. These medications may help to improve A1C scores without causing hypoglycemia. They work by preventing the breakdown of glucagon-like peptide 1 GLP-1 and gastric inhibitory peptide GIP by an enzyme known as DPP GLP-1 and GIP are natural hormones that help to reduce blood glucose levels in the body. As such, using DPP-4 inhibitors allows these hormones to remain active for longer. Typically, DPP-4 inhibitors are well tolerated. Examples include Tradjenta and Januvia. Both GLP-1 and GIP are natural hormones that can help to regulate glucose levels. These medications have a similar effect to the natural hormones, but are resistant to being broken down by DPP These drugs can help to lower blood glucose and may also aid weight loss and help prevent heart disease. Examples of GLP-1 receptor agonists include Trulicity , Byetta , and Ozempic. Glucose in the blood passes through the kidneys , where the body either excretes it in urine or reabsorbs it back into the blood. SGLT2 helps to reabsorb glucose in the kidneys. As such, SGLT2 inhibitors block this action, helping the body to eliminate excess glucose in the urine. These drugs may help to improve blood glucose levels, aid weight loss, and decrease blood pressure. A doctor may prescribe them for individuals with T2DM who also have heart or kidney problems. However, they may increase the risk of genital yeast infections. Examples include Invokana , Jardiance , and Farxiga. These drugs help to stimulate the beta cells in the pancreas to release more insulin. All sulfonylurea drugs have similar effects on blood sugar levels, but differ in side effects, drug interactions, and how often people take them. Common side effects may include hypoglycemia and weight loss. Examples include Amaryl and Glucotrol XL. These drugs help insulin to work better in muscle and fat and also reduces glucose production in the liver. TZDs can help lower blood sugar without a high risk of hypoglycemia. However, drugs in this class can increase the risk of heart failure in some people, and may also cause fluid retention in the legs and feet. Examples include Avandia and Actos. Read on to learn more about diabetes medication and drugs for T2DM. The most common side effects of metformin are stomach problems, such as diarrhea, nausea, vomiting, and gas. Doctors still often prescribe metformin to help treat T2DM. However, metformin may not be suitable for everyone with T2DM. For example, a doctor may prescribe alternative treatments, such as SGLT2 inhibitors, in people with kidney problems. Metformin does not harm the kidneys. However, if a person has kidney problems, they are more likely to experience complications from metformin, such as lactic acidosis. |
| Side effects of metformin - NHS | While taking metformin, you should avoid excessive alcohol consumption, as it can increase the risk of lactic acidosis. Funding: This project was funded by the Veterans Affairs Clinical Science Research and Development investigator-initiated grant CX Roumie. Of 73 case subjects, 35 were on insulin 26 were on insulin only and 9 used insulin in combination with an oral antidiabetes drug , 22 used sulfonylureas only, 3 metformin only, 11 a combination of sulfonylureas and metformin, and 2 were past users of antidiabetes drugs. These medications have a similar effect to the natural hormones, but are resistant to being broken down by DPP This supports the previous notion that metformin-associated lactic acidosis is rare and is observed in association with an acutely worsening clinical condition. It is very important that your doctor check your or your child's progress at regular visits, especially during the first few weeks that you take this medicine. |
| Metformin Side Effects: Common and Severe | Metformin is the principal biguanide in clinical use. The management of metformin toxicity is reviewed here. A summary table to facilitate emergent management is provided table 1. General issues relating to hypoglycemia, the therapeutic use of biguanides, and the general clinical management of drug intoxication are presented separately. Why UpToDate? Product Editorial Subscription Options Subscribe Sign in. Learn how UpToDate can help you. Select the option that best describes you. View Topic. Font Size Small Normal Large. Metformin poisoning. Formulary drug information for this topic. No drug references linked in this topic. Find in topic Formulary Print Share. View in. Language Chinese English. Authors: Jason Chu, MD Andrew Stolbach, MD, MPH, FAACT, FACMT, FACEP Section Editor: Robert G Hendrickson, MD, FACMT, FAACT Deputy Editor: Michael Ganetsky, MD Literature review current through: Jan This topic last updated: Sep 12, This is normal and nothing to worry about. Measure the oral liquid with a marked measuring spoon, oral syringe, or medicine cup. The average household teaspoon may not hold the right amount of liquid. Use the supplied dosing cup to measure the mixed extended-release oral suspension. Ask your pharmacist for a dosing cup if you do not have one. Use only the brand of this medicine that your doctor prescribed. Different brands may not work the same way. You may notice improvement in your blood glucose control in 1 to 2 weeks, but the full effect of blood glucose control may take up to 2 to 3 months. Ask your doctor if you have any questions about this. The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses. Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing. It is very important that your doctor check your or your child's progress at regular visits, especially during the first few weeks that you take this medicine. Blood and urine tests may be needed to check for unwanted effects. This medicine may interact with the dye used for an X-ray or CT scan. Your doctor should advise you to stop taking it before you have any medical exams or diagnostic tests that might cause less urine output than usual. You may be advised to start taking the medicine again 48 hours after the exams or tests if your kidney function is tested and found to be normal. Make sure any doctor or dentist who treats you knows that you are using this medicine. You may need to stop using this medicine several days before having surgery or medical tests. 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. Symptoms of lactic acidosis include abdominal or stomach discomfort, decreased appetite, diarrhea, fast or shallow breathing, a general feeling of discomfort, severe muscle pain or cramping, and unusual sleepiness, tiredness, or weakness. This medicine may cause some premenopausal women who do not have regular monthly periods to ovulate. This can increase the chance of pregnancy. If you are a woman of childbearing potential, you should discuss birth control options with your doctor. This medicine may cause hypoglycemia low blood sugar. This is more common when this medicine is taken together with certain medicines. Low blood sugar must be treated before it causes you to pass out unconsciousness. People feel different symptoms of low blood sugar. It is important that you learn which symptoms you usually have so you can treat it quickly. Talk to your doctor about the best way to treat low blood sugar. Hyperglycemia high blood sugar may occur if you do not take enough or skip a dose of your medicine, overeat or do not follow your meal plan, have a fever or infection, or do not exercise as much as usual. High blood sugar can be very serious and must be treated right away. It is important that you learn which symptoms you have in order to treat it quickly. Talk to your doctor about the best way to treat high blood sugar. High blood sugar may occur if you do not exercise as much as usual, have a fever or infection, do not take enough or skip a dose of your diabetes medicine, or overeat or do not follow your meal plan. Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:. Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional. Call your doctor for medical advice about side effects. You may report side effects to the FDA at FDA Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. |
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