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You should not use glucophage if you have severe kidney disease or diabetic ketoacidosis call your doctor for treatment .

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Today60 years after its first clinical use in humans for the treatment of type 2 diabetesmetformin is the drug of choice for first-line treatment of type 2 diabetesas recommended in the majority of clinical guidelines2,3,4.

In the last two yearsthe extensive clinical evidence generated with metformin-based productssuch as Glucophageled the European Medicine AgencyEMAto lift Glucophage contra-indications in chronic heart failureCHFand in stable to moderate renal failure CKDchronic kidney diseasestage 3with some dose limitations in stage 3bfor the treatment of type 2 diabetes5,6 This change allowed a large additional group of type 2 diabetes patients with CHF and/or reduced kidney function to benefit from the treatmentA UK prevalence study published in 2007 found that 28.9of diabetes patients in general practice settings had stage 3 CKD compared with 6.7of patients without diabetes7.

Check your blood sugar regularly as directed by your doctorKeep track of the resultsand share them with your doctorTell your doctor if your blood sugar measurements are too high or too lowYour dosage/treatment may need to be changed.

Rememberthe cornerstone of diabetes control remains unchangedit is important to follow a meal plan and get plenty of physical activityDiabetes pills are simply another tool to help you manage your blood glucose.

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the active ingredient in glucophage, namely metformin hydrochloride helps to keep the blood sugar level under control.

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