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Acarbose does not cause hypoglycemia by itself though it has glucose-lowering effect. However, a fall of blood sugar levels in the hypoglycemic range may occur when given along with other antidiabetic medicines or insulin. If this occurs, consult your doctor who may modify your dose accordingly.

Acarbose blocks the digestion of carbohydrates which causes accumulation of undigested carbohydrates in the colon. Bacterial fermentation of the accumulated carbohydrates causes intestinal gas, leading to flatulence and abdominal pain.

Yes, diarrhea is a common side effect of Acarbose. However, this does not affect everybody. Any food containing carbohydrates, such as household sugar (cane sugar) can cause diarrhea and severe abdominal pain. If diarrhea persists or becomes severe, then contact your doctor immediately.

Acarbose should be taken with your meals and should be swallowed whole with water or chewed with the first mouthful of food. The initial dose of Acarbose is generally twice daily. The dose is then gradually increased to thrice daily.

If you forget to take a dose of Acarbose, do not take the missed dose between meals. Wait for the scheduled dose and meal and continue taking your tablets as prescribed. Do not take the dose twice to make up for your forgotten tablets.

If you take more than the recommended dose of Acarbose then it may cause temporary increase in flatulence (accumulation of gas), diarrhea, and abdominal discomfort. It is advised to avoid meals or drinks containing carbohydrates for the next 4-6 hours.

Acarbose should be avoided by patients who are allergic to it, have severe liver disease, or have inflammation or ulceration of intestine (eg Crohn’s disease). The use of Acarbose should also be restricted in patients who have an intestinal obstruction (cramping pain, vomiting, obstipation, and lack of flatus). In addition, patients who have a large hernia or an intestinal disease where food is not digested or absorbed properly should avoid Acarbose. Along with that, Acarbose should not be used by women who are pregnant or breastfeeding.

If you take more than the recommended dose of Acarbose then it may cause temporary increase in flatulence (accumulation of gas), diarrhea, and abdominal discomfort. It is advised to avoid meals or drinks containing carbohydrates for the next 4-6 hours.

People with type 2 diabetes are not able to make enough insulin or respond normally to the insulin made by their bodies. When this happens, the concentration of sugar/glucose increases in the blood. Metformin acts in several ways to reduce the increased levels of sugar in blood. Metformin decreases glucose production from the liver and decreases absorption of glucose from the intestine after taking food while improving the sensitivity of the body organs and muscles towards insulin. This helps improve the uptake of glucose from the blood. It also helps your body to respond better to the insulin it makes naturally.

Yes, Metformin has been shown to cause weight loss in people who are overweight or obese. It may also cause a modest loss in weight in those overweight and obese individuals who are at risk for diabetes. In addition, patients who are sensitive or resistant to insulin may also show weight loss. But, do not start taking this medicine for weight loss on your own. Consult your doctor for the same.

Metformin is one of the first medicines that is given to patients with high blood sugar levels. It helps control blood sugar levels. It promotes the body’s response to the insulin made by the pancreas, decreases the amount of sugar made by the liver and decreases the amount of sugar absorbed by the intestines. Unlike other oral antidiabetic medicines, Metformin when taken alone, rarely causes low blood sugar as it prevents the pancreas from secreting more insulin. In addition to being a great medicine to lower blood sugar levels, it also helps in controlling weight gain.

Metformin usually does not cause sleepiness and is well tolerated. However, the use of Metformin may rarely cause sleep disorders and insomnia. Sleepiness may be due to a very serious side effect called lactic acidosis, which particularly occurs if your kidneys are not working properly. Contact your doctor if you feel sleepy or tired while taking Metformin.

Take Metformin with or after a meal. Do not crush or chew the tablets and swallow it with a glass of water. If your doctor has prescribed one tablet a day, prefer taking it in the morning with breakfast. If you have been prescribed two tablets a day, then take one in the morning and other in the evening with dinner. In case of three doses a day, apart from morning and evening, you can take it with lunch. Taking Metformin with meals will reduce its digestive problems like indigestion, nausea, vomiting, diarrhea, stomach ache and loss of appetite.