In general, for diabetes medications including oral hypoglycemic agents (e.g., metformin) and insulin, if you miss one dose, take the next one as soon as you remember it. However, if you remember close to the time of the next dose, then skip it and take the next dose instead. Do NOT double the dose.
Risks of stopping metformin
impaired vision, or diabetic retinopathy. kidney problems, or diabetic nephropathy. nerve damage, or diabetic neuropathy. heart problems.
Why Shouldn't You Stop Taking Metformin? Metformin works by decreasing the amount of sugar your liver releases into your blood, making your body more sensitive to insulin's effects. If you suddenly discontinue use, it can lead to dangerously high blood sugar levels.
In general, for diabetes medications including oral hypoglycemic agents (e.g., metformin) and insulin, if you miss one dose, take the next one as soon as you remember it. However, if you remember close to the time of the next dose, then skip it and take the next dose instead. Do NOT double the dose.
While it's possible to stop taking Metformin, there are essential things to keep in mind before making any changes. If you want to learn how to get off Metformin (or any medications), the very first step is to have a conversation with your doctor or healthcare provider before stopping.
Missing a dose can cause a rise in your blood glucose levels, which can lead to serious complications over time.
In addition, any weight loss you have may only last as long as you take the medication. That means if you stop taking metformin, there's a good chance you'll return to your original weight. And even while taking the drug, you may slowly gain back any weight you've lost.
immediate-release metformin tablets, you should take them twice daily with meals. Some people prefer to take their dose with breakfast and dinner. extended-release metformin tablets, you only need to take them once each day. And you should take your dose with your evening meal.
The regular tablet is usually taken with meals two or three times a day. The extended-release tablet is usually taken once daily with the evening meal. To help you remember to take metformin, take it around the same time(s) every day.
Coming off medication in diabetes remission
Some people are able to stop taking diabetes medication like metformin, by putting their diabetes into remission. This means that blood sugar levels are in the non-diabetes range without needing any medication.
Guidelines say metformin should be stopped where there is acute kidney injury or risk of renal compromise.