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In the treatment of diabetes, metformin is a widely used basic medication. As a doctor, I have witnessed numerous cases of patients effectively controlling blood sugar through metformin. However, many “sugar friends” have concerns about taking metformin, and some are even unwilling to take it. Below, from a doctor’s perspective, I will share some experiences and common concerns about the use of metformin, hoping to help everyone better understand this medication.
I. Advantages of Metformin
Significant blood sugar reduction: Metformin can reduce the production of liver glycogen, increase muscle uptake and utilization of glucose, thereby effectively lowering blood sugar.
Minimal weight impact: Compared to other blood sugar-lowering medications, metformin has minimal impact on weight, making it especially suitable for overweight or obese diabetic patients.
Reduced cardiovascular risk: Studies have shown that metformin not only lowers blood sugar but also reduces the risk of cardiovascular disease in diabetic patients.
Affordable price: As a mature medication, metformin is relatively inexpensive, making it easy for patients to take it for a long time.
II. Common Reasons Why Patients Are Unwilling to Take Metformin
Concerns about medication side effects: Metformin may cause gastrointestinal side effects such as nausea, vomiting, and diarrhea, leading some patients to worry that taking it will affect their quality of life.
Lack of medication knowledge: Some patients have insufficient knowledge about the mechanism of metformin, how to take it, and possible side effects, leading to fear.
Rumors: Some patients may believe in unscientific rumors, such as “long-term use of metformin can damage liver and kidney function,” leading to resistance.
Neglecting the importance of medication treatment: Some patients believe that blood sugar can be controlled through diet and exercise, neglecting the importance of medication treatment.
III. How to Properly View Metformin
Comprehensive understanding of medication: Patients should, under the guidance of a doctor, have a comprehensive understanding of metformin’s indications, side effects, and how to take it, and treat medication therapy rationally.
Gradual adaptation: When starting metformin, starting with a small dose and gradually increasing to the recommended dose can reduce the occurrence of side effects.
Adjusting dietary habits: Along with metformin, maintaining good dietary habits can reduce the occurrence of gastrointestinal side effects.
Regular monitoring: Regularly check liver and kidney function and blood sugar levels to ensure the safety and effectiveness of medications.
I once had a patient, Mr. Wang, 50 years old, with type 2 diabetes. Initially, he was unwilling to take metformin due to concerns about its side effects. After detailed explanation and encouragement, he started to try taking it and gradually adapted to the medication. One year later, his blood sugar was well controlled, and no serious side effects occurred.
Metformin, as an important medication for diabetes treatment, has been widely recognized for its efficacy and safety. Although some patients have concerns about it, with proper guidance and understanding from doctors, these concerns can be overcome. As a doctor, I recommend that diabetic patients should use metformin reasonably under the guidance of professional doctors to achieve good blood sugar control effects. At the same time, patients should actively participate in diabetes education, improve self-management skills, and better control the condition to enjoy a healthy life.
