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If you have type 2 diabetes, chances are you have heard of metformin. In fact, it is often the first medication recommended as a treatment for diabetes. Metformin is all about improving blood sugar control. It has been around for a long time (basically forever)… Metformin contains a substance called guanidine, which can lower blood sugars. Guanidine is found in an herb called goat’s rue (also known as French lilac), and this herb has been used to treat diabetes since the early 1900s. It works in several different ways… it decreases production of glucose by the liver, it decreases the amount of glucose absorbed in your intestines, and it improves insulin sensitivity so more blood sugar can be used by cells in the body. Each of these mechanism effectively lowers the blood sugar. Dontt worry if your blood sugar doesn’t drop immediately, because it takes 4-5 days to start working. Metformin does have some other positive effects, which ill mention later, but an exciting one for some people is weight loss! Another great fact about metformin is that it does not carry as much of a risk of hypoglycemia, or low blood sugar, which is a side effect of many other diabetic medications. Metformin is also used in the treatment of PCOS, a disease which can include insulin resistance and abnormal menstrual cycles. In addition to helping with blood sugar control, metformin can help stabilize hormones and restore more regular periods The medication is taken twice a day and comes in tablets of 500, 850, or 1000 mg. First warning, the medication itself can have a fishy smell to it. The most common side effect includes abdominal discomfort and diarrhea (this actually happens in up to 50% of people taking it). To avoid these side effects, you should take metformin with meals. 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