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Metformin does not usually cause low blood sugarhypoglycemiaLow blood sugar may occur if this drug is prescribed with other diabetes medicationsTalk with your doctor or pharmacist about whether the dose of your other diabetes medication(sneeds to be lowered.

Lactic acidosis is a rarebut potentially severeconsequence of therapy with metforminit is characterized by elevated blood lactate levels5 mmol/Ldecreased blood pHelectrolyte disturbances with an increased anion gapand an increased lactate/pyruvate ratiowhen metformin is implicated as the cause of lactic acidosismetformin plasma concentrations5 mcg/mL are generally found.

Taking Glucophage with meals can lessen side effectsCall your healthcare provider if you experience severe discomfort or if the side effects last longer than a few weeks.

CommentsTake in divided doses 2 to 3 times a day with mealsTitrate slowly to minimize gastrointestinal side effects.

If you have forgotten to take your diabetes pills you may take them provided it has been less than 2 hours from your dosage timeIf it is more than 2 hourscontact your healthcare providerDo not take 2 doses at the next mealIf you miss a dosenote it in your record book.

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