She Strengthens

Managing Type 2 Diabetes: Is It Time to Break Up with Metformin?

If you’re one of the millions of people living with type 2 diabetes, prediabetes, or polycystic ovary syndrome (PCOS), chances are you’ve heard of metformin. As the most widely prescribed diabetes medication globally, it’s no stranger to many. But despite its popularity, metformin comes with some risks, and many individuals seek alternative ways to manage their condition.

Understanding Metformin

Metformin is often prescribed to people with type 2 diabetes because it effectively lowers blood sugar levels by:

• Reducing liver sugar release
• Delaying stomach sugar absorption
• Increasing cell sensitivity to insulin

Additionally, metformin helps with other aspects of type 2 diabetes, including:

• Curbing appetite, leading to moderate weight loss
• Raising high-density lipoprotein (HDL) cholesterol
• Lowering low-density lipoprotein (LDL) cholesterol and lipids

The Not-So-Good Stuff: Side Effects and Risks

While metformin can be beneficial, it’s not without its drawbacks. Common side effects include:

• Appetite loss
• Moderate weight loss
• Gas and metallic taste
• Heartburn and stomach cramps
• Vomiting and diarrhea
• Vitamin B-12 deficiency (affecting about 30% of long-term users)

Rarely, metformin can cause hypoglycemia (low blood sugar), which can be life-threatening if left untreated. Symptoms include:

• Headache
• Feeling faint or shaky
• Sweating
• Nausea

Breaking Up with Metformin: Is It Possible?

While metformin can help manage type 2 diabetes, it doesn’t address the underlying lifestyle factors contributing to the disease. By making healthy changes, some people may be able to stop taking metformin altogether. According to the American Diabetes Association, you may be eligible to stop taking metformin if you meet certain criteria, including:

• Blood sugar levels under 180 mg/dL
• Fasting morning blood sugar level under 130 mg/dL
• A1C less than 7%

Lifestyle Changes for a Medication-Free Future

To break up with metformin, you’ll need to commit to healthy lifestyle changes, such as:

• Regular exercise
• Reducing carbohydrate intake
• Maintaining a healthy weight
• Quitting smoking
• Limiting or avoiding alcohol

Working with a healthcare professional, personal trainer, or support group can help you stay on track and achieve your goals.

Metformin During Pregnancy

For pregnant women with diabetes and/or PCOS, metformin can be beneficial in stabilizing blood sugar levels and reducing the risk of gestational diabetes. It’s also safe to take while breastfeeding.

Alternative Medications and Natural Remedies

If you’re looking for alternative medications, options include:

• Dapagliflozin (Farxiga)
• Actos (pioglitazone)
• Canagliflozin (Invokana)
• Empagliflozin (Jardiance)
• Prandin (repaglinide)

Natural remedies, such as apple cider vinegar, bitter gourd, and cinnamon, may also help reduce blood sugar levels. However, always consult with your doctor or pharmacist before trying any new supplements.

The Bottom Line

Breaking up with metformin requires careful consideration and consultation with your doctor. By making healthy lifestyle changes and exploring alternative options, you may be able to manage your type 2 diabetes without medication. Remember to always prioritize your health and stay in close contact with your healthcare provider.