Metformin is a widely used medication for managing type 2 diabetes, primarily because of its effectiveness in lowering blood sugar levels and its relatively favorable side effect profile. The most common side effects of metformin include gastrointestinal issues such as nausea, vomiting, diarrhea, abdominal discomfort, and a metallic taste in the mouth. These side effects often diminish over time as the body adjusts to the medication. Less commonly, metformin can cause a serious condition called lactic acidosis, particularly in individuals with kidney or liver problems.
Despite these potential side effects, metformin continues to be prescribed widely by doctors due to its benefits in controlling blood sugar levels, improving insulin sensitivity, and potentially offering cardiovascular benefits. It is also associated with weight loss or weight neutrality, which is advantageous for many patients with type 2 diabetes.
There is no widespread movement to stop prescribing metformin. In fact, it remains a first-line treatment for type 2 diabetes. However, there may be instances where doctors choose not to prescribe it to certain patients due to specific health conditions or contraindications, such as significant kidney impairment or a history of lactic acidosis. Additionally, some patients may experience intolerable side effects that necessitate a change in medication. The decision to prescribe or discontinue metformin is individualized based on the patient's overall health, tolerance to the medication, and specific medical needs.