Kindly discuss for your concern

Metformin 500 mg is known to cause bloated abdomen , diarrhea,gastritis rarely in the initial stages of treatment, the body usually gets used to metformin in couple of weeks time. If you still have issues with it after a few weeks ,you can opt for newer drugs like SGLT2 inhibitors like canagliflozin, dapagliflozin, and empagliflozin. They are given alone or in combination with metformin

Once gastritis developed, better change the drug. Kindly consult online with Dr Pandian

Hello Metformin is priliminary medication used in treating Type 2 Dm  ..if only gastritis is then take along with Pantoprazole-D or Rabeprazole- D  If not relived get baseline blood investigation like serum creatinine and Hba1c and can plan to  switch over to other  medications .

Need to know history in detail Kindly consult for better discussion

Good evening How much is her hba1c that will decide what medication is recommended Thanks

Can help you with the next course of action and treatment plan. Would like to discuss in details and provide apt solution. Kindly consult.

Metformin is basic and very 1st drug to be used. Use cap Omeprazole 20 mg or pantoprazole 40 mg 30 min before meals in morning to avoid gastritis

Kindly consult

Hii.. metformin 500 is a very good medication and therefore it is always given first. Even if she doesn’t tolerate it after pantop tablet ,than we should change to other drug.

I understood your concern  and noted the problem as well .I need to ask few more details to make a diagnosis and start treatment and advice which suits you. Pl consult me on Practo , so that I can help you better.book a time slot as per your convenience for consultation.

Kindly Consult

Can help you, kindly provide me detailed history for proper diagnosis and further management

Metformin is a very good drug,hence recommended as the 1st choice.it is common to  have gastric issues with it.pantoperazole 40mg can be taken 20 mibutes before metformin,to avoid gastric issues.If,in a few days,the symptoms do not get better ,a different medication can be tried. Meanwhile please encourage her to modify her lifestyle as if tried early, and done properly,it can work even better than drugs,in some cases even reversing diabetes.

A detailed history would help in understanding your situation better. Kindly consult at your convenience

Hi., I can understand your concern. Metformin is the first line medicine for sugar. Your mother can take metformin with that, she can take pan 40 as gastro protective before food twice a day. If still, she's facing gastric problem, we can change the med based on sugar levels.