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This medication can cause low blood sugarhypoglycemiaThis may occur if you do not consume enough calories from food or if you do unusually heavy exerciseSymptoms of low blood sugar include sudden sweatingshakingfast heartbeathungerblurred visiondizzinessor tingling hands/feetIt is a good habit to carry glucose tablets or gel to treat low blood sugarIf you don’t have these reliable forms of glucoserapidly raise your blood sugar by eating a quick source of sugar such as table sugarhoneyor candyor drink fruit juice or non-diet sodaTell your doctor right away about the reaction and the use of this productTo help prevent low blood sugareat meals on a regular scheduleand do not skip mealsCheck with your doctor or pharmacist to find out what you should do if you miss a meal.

Metformin is used for treating type 2 diabetes in adults and childrenIt may be used alone or in combination with other diabetic medicationsMetformin also has been used to prevent the development of diabetes in people at risk for diabetestreatment of polycystic ovariesand weight gain due to medications used for treating psychosesMetformin is an oral biguanide antidiabetic agentIt decreases the production of glucose in the liverdecreases the absorption of glucose by the intestinesand increases the uptake and use of blood glucose by cells throughout the body.

You may develop lactic acidosisa dangerous build-up of lactic acid in your bloodCall your doctor or get emergency medical help if you have unusual muscle paintrouble breathingstomach paindizzinessfeeling coldor feeling very weak or tired.

Educate patients and their families about the symptoms of lactic acidosis and if these symptoms occur instruct them to discontinue Glucovance and report these symptoms to their healthcare provider.

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