Patient was educated on precautions to be exercised while taking Metformin as follows:   If the blood sugars are getting too low with metformin use, despite compliance with recommended calorie intake, your dose of metformin may need to be revised or change of plan considered. Notify your physician regarding any overly corrected blood sugars with metformin use, resulting in episodes of hypoglycemia with extremely low blood sugars.  Metformin is usually not metabolized in the body and [...]

Patient was educated on precautions to be exercised while taking Metformin as follows: Do not take metformin with alcohol. Both metformin and alcohol can independently contribute to increased production of lactic acid and induce risk for metabolic acidosis in the body. Taken together, they can complement each other, to increase this risk significantly. Be aware of symptoms of metabolic acidosis, such as, rapid shallow breath, increased heart rate, fatigue, headache, confusion, and stomach upset with [...]

Patient was educated on precautions to be exercised while taking Metformin as follows: Discuss with your physician or nutritionist regarding your recommended diet plan and calorie intake limitations, if any. Observe compliance with any recommendations made, to help the blood sugar numbers fall in the target range. Grossly overeating or undereating in comparison to the recommended calorie intake can lead to poor blood sugar control and compromise the therapeutic benefit of metformin. Maintaining a log [...]

Patient was educated on precautions to be exercised while taking Metformin as follows: Take the medication at the same time, every day, to avoid forgetting the medication. Taking this medication at regularly spaced intervals along with compliance for recommended dietary measures helps to prevent any gross fluctuations in blood sugar numbers and maintain them in the target range. Maintain strict compliance with intake of the medication as ordered, with regards to dosage and frequency, to [...]

Patient was educated on contraindications for taking Metformin as follows: Metformin should be avoided in individuals with history of serious allergic reactions to metformin use. Metformin is usually not metabolized in the body and for the significant part is excreted unchanged by the kidneys. Individuals with renal disease cannot excrete Metformin normally. In such patients with compromised renal function, Metformin can stay active in circulation for longer time and can be toxic. In such individuals, [...]