Your family doctor will want to check your progress at regular appointments , especially during the first few weeks that you take this drug.
Under certain conditions, too much metformin can cause lactic acidosis Symptoms of lactic acidosis are severe and quick to appear and usually occur when other health problems not related to the drug 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, shallow breathing; general feeling of discomfort; muscle pain or cramping; and unusual sleepiness, tiredness, or weakness.
If symptoms of lactic acidosis occur, you must get immediate emergency medical help.
The best for you to follow carefully any instructions from your health care team about:
In case of emergency There may be a time when you need emergency help for a problem causing by your diabetes. You need to be prepared for these emergencies. It is a good idea to wear a medical identification - ID bracelet or neck chain at all times. Always carry an ID card in your wallet or purse that says that you have diabetes and a list of all your medication.
Symptoms of hypoglycemia - low blood sugar include anxiety; behavior change similar to being drunk; blurred vision; cold sweats; confusion; cool, pale skin; difficulty in thinking; drowsiness; excessive hunger; fast heartbeat; headache - continuing; nausea; nervousness; nightmares; restless sleep; shakiness; slurred speech; or unusual tiredness or weakness.
Glyburide and metformin combination can cause low blood sugar. However, it also can occur if you delay or miss a meal or snack, drink alcohol, exercise more than usual, can't eat because of nausea or vomiting, take certain medication, or take glyburide and metformin with another type of diabetes drug Symptoms of low blood sugar must be treated before they lead to unconsciousness - passing out. Different people feel various symptoms of low blood sugar It is important that you learn which symptoms of low blood sugar you usually have so that you can treat it quickly.
If symptoms of low blood sugar occur, eat glucose tablets or gel, corn syrup, honey, or sugar cubes; or drink fruit juice, nondiet soft drink, or sugar dissolved in water . Always check your blood for low blood sugar Glucagon is using in emergency situations when severe symptoms such as seizures - convulsions or unconsciousness occur. Have a glucagon kit available, along with a syringe or needle and know how to use it. Members of your household also must know how to use it.
Symptoms of hyperglycemia - high blood sugar include blurred vision; drowsiness; dry mouth; flushed, dry skin; fruit-like breath odor; increased urination - frequency and volume; ketones in urine; loss of appetite; sleepiness; stomachache, nausea, or vomiting; tiredness; troubled breathing - rapid and deep; unconsciousness; or unusual thirst.
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 drug, or overeat or do not follow your meal plan.
If symptoms of high blood sugar occur, check your blood sugar level and then call your health care professional for instructions .