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Long-term use of metformin may present with 4 side effects, and if one occurs, discontinuation should be considered.

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This content is provided by Pioneer Bird Blood Sugar Management Software! It helps you record health indicators such as blood sugar and blood pressure, offers free samples of sugar-free foods, and provides customized diet and exercise plans to assist you in sugar control.

1. The Role of Metformin in Diabetes Treatment

Metformin, as a first-line medication for the treatment of type 2 diabetes, is undoubtedly important. It lowers blood sugar by reducing hepatic glucose output and improving muscle sensitivity to insulin. However, like any medication, long-term use of metformin may have some side effects. Below, we will explore these side effects and discuss when it might be necessary to consider discontinuation.

2. Common Side Effects of Metformin

Gastrointestinal Discomfort

Long-term use of metformin may lead to gastrointestinal discomfort, including symptoms like nausea, vomiting, diarrhea, and bloating. These reactions are typically more pronounced in the early stages of treatment, but most patients can gradually adapt over time.

Lactic Acidosis

This is a rare but serious side effect, primarily occurring in patients with renal insufficiency or those who consume large amounts of alcohol. Lactic acidosis is caused by excessive accumulation of lactic acid in the body, with symptoms including difficulty breathing, fatigue, and muscle pain. If these symptoms occur, medication should be stopped immediately, and medical assistance sought.

Vitamin B12 Deficiency

Metformin may affect the absorption of vitamin B12, and long-term use can lead to vitamin B12 deficiency, potentially resulting in anemia and neuropathy. Patients on long-term metformin therapy are advised to regularly monitor their vitamin B12 levels.

Risk of Hypoglycemia

While the risk of hypoglycemia is low when metformin is used alone, the risk increases when combined with other hypoglycemic medications or insulin. Patients should closely monitor their blood sugar levels during treatment.

3. When to Consider Discontinuation

If symptoms of lactic acidosis occur during metformin use, the medication should be stopped immediately, and medical attention sought. Additionally, if patients experience severe gastrointestinal discomfort that affects daily life and does not improve after adjusting the medication regimen, discontinuation should also be considered.

4. How to Manage Diabetes

In diabetes management, in addition to proper medication, lifestyle adjustments are also crucial. A balanced diet, appropriate exercise, and good habits are key to controlling blood sugar. Moreover, utilizing modern technology, such as blood sugar management assistants, can help patients monitor their blood sugar more accurately and adjust treatment plans in a timely manner.

5. Welfare Activities for Diabetes Patients

To help diabetes patients better manage their blood sugar, some health organizations have launched programs to provide free sugar-free foods. These sugar-free products not only satisfy diabetes patients’ cravings for delicious food but also help control blood sugar, serving as a blessing for diabetes patients.

Metformin is an important medication for diabetes treatment, but potential side effects should be considered during long-term use. Patients should maintain communication with their doctors, undergo regular check-ups, and ensure the safety and effectiveness of their medication. At the same time, actively participating in diabetes management activities can help them enjoy a healthy life.

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