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Table of contents
- What is Metformin
- Metformin Indications
- Metformin Side Effects
- How to Use Metformin
- Dosage and Administration
- Timing of Administration
- Regular Monitoring
- Potential Interactions
- Lifestyle Considerations
- How to Buy Metformin in the USA
- Obtaining a Prescription
- Visiting a Pharmacy
- Insurance Coverage
- Generic vs. Brand-Name
- Online Pharmacies
- Prices of Metformin in the USA
- Generic vs. Brand-Name
- Dosage and Form
- Insurance Coverage
- Discount Programs and Coupons
- Pharmacy Variations
- Metformin Dosages and Their Differences
- 500 mg Metformin Tablets
- 850 mg Metformin Tablets
- 1000 mg Metformin Tablets
- Extended-Release Formulations
- Combination Products
- Initial Response to Metformin
What is Metformin
Metformin is a widely prescribed medication used primarily to treat type 2 diabetes. It belongs to a class of drugs known as biguanides, which work by decreasing glucose production in the liver, increasing insulin sensitivity, and improving glucose uptake by muscles. By addressing these key aspects of glucose metabolism, metformin helps to lower blood sugar levels and maintain better overall glycemic control in individuals with type 2 diabetes. It is often the first-line treatment for type 2 diabetes due to its effectiveness, safety profile, and low cost.
In addition to its glucose-lowering effects, metformin has been associated with various other health benefits. Research has shown that it may help in weight management, which is particularly beneficial for type 2 diabetes patients who are often overweight or obese. Metformin's ability to promote modest weight loss or prevent weight gain is an advantage over some other diabetes medications that can lead to weight gain. Furthermore, there is evidence suggesting that metformin may reduce the risk of cardiovascular events, making it a valuable option for patients with type 2 diabetes who are at an increased risk of heart disease.
Metformin is usually taken orally in the form of tablets or extended-release tablets. The dosage and frequency depend on the individual patient's condition and response to the medication. It is typically started at a low dose to minimize potential gastrointestinal side effects, such as nausea, diarrhea, and abdominal discomfort, which are common during the initial weeks of treatment. Gradually increasing the dose can help improve tolerance. Patients are advised to take metformin with meals to reduce gastrointestinal symptoms and to follow their healthcare provider's instructions closely.
While metformin is generally well-tolerated, it is not suitable for everyone. Patients with severe kidney or liver disease, chronic heart failure, or a history of lactic acidosis are usually advised against taking metformin due to the increased risk of serious complications. Regular monitoring of kidney function is recommended for all patients on metformin to ensure safe use. Despite these precautions, metformin remains one of the most widely used and effective medications for managing type 2 diabetes, contributing significantly to the control of blood sugar levels and overall health improvement in diabetic patients.
Metformin Indications
Metformin is primarily indicated for the treatment of type 2 diabetes mellitus. It is widely used as a first-line therapy due to its effectiveness in lowering blood glucose levels and improving insulin sensitivity. Metformin helps to control high blood sugar, which is essential for preventing complications associated with diabetes, such as kidney damage, nerve problems, blindness, and heart disease. It is especially beneficial for overweight or obese patients with type 2 diabetes, as it can aid in weight management without causing significant weight gain.
Another important indication for metformin is in the management of polycystic ovary syndrome (PCOS). PCOS is a hormonal disorder common among women of reproductive age, often characterized by insulin resistance, irregular menstrual periods, and elevated levels of male hormones. Metformin improves insulin sensitivity in women with PCOS, which can help regulate menstrual cycles, reduce levels of circulating androgens, and promote ovulation. This makes metformin a valuable option for managing the metabolic and reproductive aspects of PCOS.
Metformin is also used in the prevention of type 2 diabetes in individuals with prediabetes. Prediabetes is a condition where blood glucose levels are higher than normal but not high enough to be classified as diabetes. Clinical studies have shown that metformin can reduce the risk of developing type 2 diabetes in people with prediabetes, particularly those who are overweight, under 60 years of age, or have a history of gestational diabetes. By improving insulin sensitivity and reducing hepatic glucose production, metformin helps to stabilize blood sugar levels and delay or prevent the onset of diabetes.
In addition to its primary uses, metformin is being investigated for its potential benefits in other conditions. For example, research is exploring its role in cancer prevention and treatment, as some studies suggest that metformin may have anti-cancer properties. There is also interest in its effects on aging and longevity, with some evidence indicating that metformin could positively impact lifespan and healthspan by improving metabolic health and reducing inflammation. These emerging areas of research highlight the versatility of metformin and its potential applications beyond traditional indications.
Metformin Side Effects
While metformin is generally well-tolerated, it can cause side effects in some individuals. Understanding these side effects can help patients manage them effectively and know when to seek medical advice. Here are the common and serious side effects associated with metformin.
Common Side Effects
- Nausea
- Diarrhea
- Stomach pain
- Gas and bloating
- Loss of appetite
- Metallic taste in the mouth
These common side effects are usually mild and may resolve on their own as the body adjusts to the medication. Taking metformin with meals can help reduce gastrointestinal discomfort. If these symptoms persist or become bothersome, patients should consult their healthcare provider for advice.
Serious Side Effects
- Lactic acidosis
- Vitamin B12 deficiency
- Hypoglycemia (low blood sugar) when combined with other diabetes medications
- Allergic reactions (rash, itching, swelling)
Lactic acidosis is a rare but serious side effect of metformin, characterized by the buildup of lactic acid in the blood. Symptoms include muscle pain, difficulty breathing, abdominal pain, dizziness, and unusual tiredness. This condition requires immediate medical attention. Vitamin B12 deficiency may occur with long-term use of metformin, leading to symptoms such as fatigue, weakness, and nerve damage. Regular monitoring and supplementation can help prevent this deficiency.
Rare Side Effects
- Hepatitis (liver inflammation)
- Pancreatitis (inflammation of the pancreas)
- Anemia
- Skin reactions
Though rare, these side effects can be severe and require prompt medical attention. Symptoms of liver inflammation include yellowing of the skin or eyes (jaundice), dark urine, and upper abdominal pain. Pancreatitis symptoms include severe abdominal pain, nausea, and vomiting. If patients experience any of these symptoms, they should stop taking metformin and seek immediate medical help.
Managing Side Effects
- Take metformin with meals to reduce gastrointestinal issues
- Start with a low dose and gradually increase to minimize side effects
- Monitor blood sugar levels regularly
- Inform healthcare providers of all medications and supplements being taken
Patients can manage common side effects by taking metformin with food and starting with a low dose to allow the body to adjust. Regular monitoring of blood sugar levels is essential, especially when combining metformin with other diabetes medications. Keeping healthcare providers informed about all medications and supplements can help avoid potential interactions and side effects.
How to Use Metformin
Metformin is a medication prescribed to manage type 2 diabetes mellitus and other conditions related to insulin resistance. Proper use of metformin is crucial for its effectiveness and to minimize potential side effects. Here are guidelines on how to use metformin as directed by healthcare providers:
Dosage and Administration
Metformin is typically taken orally in the form of tablets or extended-release tablets. The dosage varies depending on the patient's medical condition, response to treatment, and other factors such as kidney function. It is usually started at a low dose and gradually increased to achieve the desired blood sugar control. Common starting doses range from 500 mg to 1000 mg, taken once or twice daily.
Timing of Administration
Metformin should be taken with meals to reduce gastrointestinal side effects, which are common during the initial weeks of treatment. Taking metformin with food helps to slow down its absorption and lessen the likelihood of nausea, diarrhea, or stomach upset. Patients should follow the schedule provided by their healthcare provider and avoid skipping doses.
Regular Monitoring
Regular monitoring of blood sugar levels is essential while taking metformin. This helps to assess the effectiveness of the medication in controlling blood glucose levels and to adjust the dosage if necessary. Healthcare providers may also monitor kidney function with blood tests to ensure metformin is safe to use, as it is excreted through the kidneys.
Potential Interactions
Inform healthcare providers about all medications, supplements, and vitamins you are taking before starting metformin. Some medications, such as certain antibiotics or contrast agents used in imaging tests, may interact with metformin and affect its effectiveness or increase the risk of side effects. Your healthcare provider can advise on how to manage these interactions.
Lifestyle Considerations
Alongside medication, lifestyle changes such as healthy eating and regular physical activity are essential for managing type 2 diabetes effectively. Metformin works best when combined with a balanced diet that moderates carbohydrate intake and promotes weight management. Regular exercise can also improve insulin sensitivity and overall metabolic health.
By following these guidelines and communicating closely with healthcare providers, patients can optimize the benefits of metformin therapy while minimizing the risk of side effects. It is important to adhere to the prescribed regimen and report any concerns or changes in health status promptly to ensure safe and effective management of diabetes.
How to Buy Metformin in the USA
Buying metformin in the USA involves a few steps to ensure legal acquisition and safe use of the medication. Metformin is a prescription medication, so it is essential to follow proper procedures to obtain it.
Obtaining a Prescription
Firstly, you need a valid prescription from a licensed healthcare provider. Schedule an appointment with your doctor or endocrinologist to discuss your diabetes management and determine if metformin is appropriate for you. Your healthcare provider will assess your medical history, current medications, and any potential contraindications before prescribing metformin.
Visiting a Pharmacy
Once you have a prescription, you can fill it at a local pharmacy or an accredited online pharmacy. Visit the pharmacy with your prescription, or in the case of online pharmacies, submit your prescription through their secure portal. Ensure the pharmacy is licensed and reputable to guarantee the authenticity and quality of the medication.
Insurance Coverage
Check your health insurance coverage for metformin. Many insurance plans cover generic metformin tablets, which can significantly reduce out-of-pocket costs. Contact your insurance provider to verify coverage details, copayment amounts, and any requirements for using a preferred pharmacy network.
Generic vs. Brand-Name
Metformin is available in both generic and brand-name forms. Generic metformin is generally more affordable and equally effective as the brand-name versions. Discuss with your healthcare provider and pharmacist whether a generic alternative is suitable for you to save on medication costs.
Online Pharmacies
Consider using online pharmacies to purchase metformin for added convenience. Ensure the online pharmacy requires a valid prescription before dispensing the medication. Verify the pharmacy's credentials and look for certification from organizations such as the National Association of Boards of Pharmacy (NABP) to ensure legitimacy.
By following these steps and guidelines, individuals with diabetes can safely obtain metformin in the USA, ensuring consistent access to essential medication for managing blood sugar levels and improving overall health.
Prices of Metformin in the USA
The cost of metformin in the USA can vary depending on several factors, including whether you purchase the generic or brand-name version, your dosage, the pharmacy you visit, and your insurance coverage. Here’s an overview of what influences the prices of metformin and what you can expect when purchasing this medication.
Generic vs. Brand-Name
Metformin is available in both generic and brand-name forms. Generic metformin is significantly cheaper than brand-name versions while offering the same active ingredients and therapeutic effects. For example, a month's supply of generic metformin can cost as low as $4 to $20 at pharmacies like Walmart or Target, where they offer discounted pricing for certain generic medications.
Dosage and Form
The cost of metformin also varies based on the dosage and formulation. Metformin is available in immediate-release tablets, extended-release tablets, and oral solutions. Extended-release formulations are often more expensive than immediate-release ones due to their convenience of once-daily dosing. Higher dosages may also cost more than lower dosages.
Insurance Coverage
Many health insurance plans cover metformin tablets, particularly the generic versions, under their prescription drug benefits. Patients typically pay a copayment or coinsurance amount, which can range from $0 to $30 or more depending on their insurance plan. Some insurance plans may require patients to use a preferred pharmacy network to receive lower copayments.
Discount Programs and Coupons
For patients without insurance or with high copayments, discount programs and coupons can help reduce the cost of metformin. Websites like GoodRx offer price comparisons and discount coupons that can significantly lower the out-of-pocket expense. These programs are easy to use and can be applied at most pharmacies across the USA.
Pharmacy Variations
Prices for metformin can vary between different pharmacies, including large chain pharmacies, independent pharmacies, and online pharmacies. It is beneficial to compare prices and utilize discount programs to find the best deal. Online pharmacies often offer competitive pricing and the convenience of home delivery, making them a convenient option for purchasing metformin.
Overall, the affordability of metformin, particularly in its generic form, makes it a cost-effective choice for individuals managing type 2 diabetes. Patients are encouraged to explore their options, including insurance coverage and discount programs, to ensure they can access this essential medication at a reasonable cost.
Metformin Dosages and Their Differences
Metformin is available in various dosages to accommodate different patient needs and medical conditions related to insulin resistance and type 2 diabetes. The dosage prescribed depends on factors such as the severity of the condition, patient response, and individual health considerations. Here are the common dosages of metformin and their distinctions:
500 mg Metformin Tablets
500 mg metformin tablets are typically the starting dose for many patients. This dosage is often used to test tolerance and minimize gastrointestinal side effects, which can include nausea, diarrhea, and stomach upset. Starting at a lower dose allows patients to gradually adjust to the medication.
850 mg Metformin Tablets
850 mg metformin tablets are a higher strength option that may be prescribed when lower doses are not sufficient to control blood sugar levels effectively. This dosage is commonly used when starting metformin therapy for patients who require a slightly higher initial dose.
1000 mg Metformin Tablets
1000 mg metformin tablets are another common strength used to manage type 2 diabetes. This dosage is often prescribed once or twice daily, depending on the patient's needs and tolerance. It provides a higher concentration of the medication per tablet compared to lower strength formulations.
Extended-Release Formulations
Metformin is also available in extended-release (ER) formulations, which are designed to release the medication slowly over time, usually once daily. Extended-release metformin may come in strengths such as 500 mg, 750 mg, and 1000 mg ER tablets. These formulations offer the convenience of once-daily dosing and may reduce the incidence of gastrointestinal side effects compared to immediate-release tablets.
Combination Products
Metformin is sometimes combined with other diabetes medications, such as sulfonylureas or DPP-4 inhibitors, in single-tablet formulations. These combination products allow for simplified dosing regimens and may improve adherence to treatment plans. Combination tablets come in various strengths depending on the specific medications included.
Patients should always follow their healthcare provider's instructions regarding the dosage and administration of metformin. Dosage adjustments may be necessary based on changes in health status, response to treatment, and other medical considerations. Proper dosing and adherence to prescribed regimens are crucial for achieving optimal blood sugar control and minimizing the risk of complications associated with diabetes.
Initial Response to Metformin
Metformin is a first-line medication for managing type 2 diabetes, known for its effectiveness in lowering blood sugar levels. Patients typically begin to see an improvement in their blood glucose levels within 48 to 72 hours after starting metformin. This rapid response is crucial for individuals with high blood sugar levels, as it helps to reduce symptoms such as excessive thirst, frequent urination, and fatigue, leading to an initial sense of relief and better well-being.
Stabilizing Blood Sugar Levels
While the initial response to metformin is relatively quick, achieving stable blood sugar control usually takes longer. Within one to two weeks, patients often experience a more consistent reduction in fasting blood glucose levels. Over the course of several weeks, as metformin continues to improve insulin sensitivity and reduce hepatic glucose production, patients can expect further stabilization of their blood sugar levels. Regular monitoring and dose adjustments may be necessary during this period to optimize treatment outcomes.
Long-Term Benefits and Weight Management
One of the notable advantages of metformin is its long-term benefits in weight management, which can significantly enhance recovery in patients with type 2 diabetes. Over a period of several months, metformin helps patients achieve and maintain a healthy weight by reducing appetite and promoting fat loss. This weight reduction is particularly beneficial for improving insulin sensitivity and further stabilizing blood sugar levels. Long-term use of metformin not only aids in managing diabetes but also contributes to overall metabolic health, reducing the risk of complications associated with obesity.
Improvement in Cardiovascular Health
Metformin has been shown to offer cardiovascular benefits, which are important for the overall recovery and health of patients with type 2 diabetes. Over a period of months to years, metformin can improve lipid profiles by lowering LDL cholesterol and triglycerides while raising HDL cholesterol. Additionally, its positive effects on weight and blood sugar control contribute to reduced blood pressure and a lower risk of cardiovascular events. These improvements in cardiovascular health are critical for long-term recovery and reducing the risk of heart disease, which is prevalent among individuals with diabetes.
Enhancing Quality of Life
The comprehensive benefits of metformin, including improved blood sugar control, weight management, and cardiovascular health, collectively contribute to an enhanced quality of life for patients. As blood sugar levels stabilize and symptoms diminish, patients often experience increased energy levels, better physical functioning, and a reduction in diabetes-related complications. The long-term use of metformin supports sustained health improvements, allowing patients to lead more active and fulfilling lives while effectively managing their diabetes.
Early Intervention in Type 2 Diabetes
Timely treatment with metformin is crucial for managing type 2 diabetes effectively. Early intervention helps to quickly bring high blood sugar levels under control, reducing the risk of acute complications such as hyperglycemia. Starting metformin soon after diagnosis can prevent the progression of the disease, making it easier to manage in the long term. Early use of metformin can also preserve pancreatic beta-cell function, which is essential for insulin production and overall glucose regulation.
Preventing Long-Term Complications
Metformin plays a vital role in preventing long-term complications associated with diabetes, such as cardiovascular disease, neuropathy, retinopathy, and nephropathy. By maintaining blood glucose levels within the target range, metformin reduces the risk of damage to blood vessels and nerves. Timely treatment minimizes the likelihood of developing these severe complications, which can significantly impact a patient’s quality of life and increase healthcare costs. Early and consistent use of metformin is key to mitigating these risks.
Enhancing Insulin Sensitivity
One of the primary actions of metformin is to improve insulin sensitivity, allowing the body to use insulin more effectively. This is particularly important in the early stages of type 2 diabetes when insulin resistance is a major issue. By enhancing insulin sensitivity, metformin helps to lower blood sugar levels and reduce the strain on the pancreas. Early treatment can slow down the progression of insulin resistance, making diabetes easier to manage over time and reducing the need for additional medications.
Supporting Weight Management
Weight management is a critical component of diabetes care, and metformin is known for its beneficial effects on weight. Starting metformin early can help patients lose weight or prevent further weight gain, which is often associated with improved glycemic control. Weight loss achieved through metformin use can also reduce the risk of obesity-related complications, such as hypertension and dyslipidemia. Timely intervention with metformin supports healthier weight management, which is essential for overall metabolic health.
Improving Overall Prognosis
The importance of timely treatment with metformin extends to improving the overall prognosis for individuals with type 2 diabetes. Early control of blood sugar levels helps prevent both immediate and long-term complications, leading to better health outcomes. Patients who begin treatment with metformin soon after diagnosis often experience fewer health issues and a higher quality of life. The proactive use of metformin can significantly enhance the long-term health prospects of individuals with type 2 diabetes, emphasizing the need for early and consistent treatment.
FAQ
What is Metformin?
Metformin is an oral medication used to treat type 2 diabetes. It helps control blood sugar levels by decreasing the amount of glucose produced by the liver and increasing the sensitivity of muscle cells to insulin.
How does Metformin work?
Metformin works by reducing the amount of sugar produced by the liver and enhancing the body's response to insulin. It does not increase insulin levels in the body but rather improves its utilization.
What conditions is Metformin used to treat?
Metformin is primarily used to treat type 2 diabetes mellitus. It may also be prescribed off-label for conditions such as polycystic ovary syndrome (PCOS) to help regulate menstrual cycles and improve fertility.
What are the common side effects of Metformin?
Common side effects of Metformin include gastrointestinal symptoms such as diarrhea, nausea, vomiting, abdominal discomfort, and loss of appetite. These side effects are usually mild and improve over time.
How should Metformin be taken?
Metformin is typically taken with meals to reduce gastrointestinal side effects. It is usually started at a low dose and gradually increased as tolerated. Follow your doctor's instructions on dosage and timing.
Can Metformin be used for weight loss?
Metformin is not specifically approved for weight loss, but some people may experience weight loss as a side effect, particularly if they have insulin resistance or prediabetes.
What should I do if I miss a dose of Metformin?
If you miss a dose of Metformin, take it as soon as you remember, unless it is almost time for your next dose. In that case, skip the missed dose and continue with your regular dosing schedule. Do not double up on doses to make up for a missed one.
Can Metformin cause low blood sugar?
Metformin alone does not cause low blood sugar (hypoglycemia) when used as prescribed. However, combining Metformin with other diabetes medications that can lower blood sugar may increase the risk of hypoglycemia.
Are there any drug interactions with Metformin?
Metformin can interact with certain medications, including some antibiotics, diuretics, and antipsychotic medications. It's important to inform your doctor and pharmacist about all medications you are taking, including over-the-counter drugs and supplements.
How long does Metformin take to work?
Metformin starts lowering blood sugar levels within a few days to weeks of starting treatment. However, it may take several weeks for the full effect to be seen. Your doctor will monitor your blood sugar levels to determine the effectiveness of the treatment.
How much does Metformin cost?
The cost of Metformin can vary depending on the dosage strength, quantity, and pharmacy. Generally, it ranges from $4 to $25 for a month's supply of generic Metformin, while brand-name versions may be more expensive.
Does insurance cover the cost of Metformin?
Most insurance plans cover Metformin as it is a commonly prescribed medication for diabetes. Co-pays and coverage may vary, so it's recommended to check with your insurance provider for details.
Are there cheaper alternatives to Metformin?
Generic Metformin is available at a significantly lower cost than brand-name versions. Your doctor can prescribe the generic form, which contains the same active ingredient and is equally effective for managing blood sugar levels.
Can discounts be obtained on Metformin?
Some pharmacies offer discount programs, savings cards, or coupons for Metformin. These programs can help reduce out-of-pocket expenses. Check with your pharmacy or visit their website for available discounts.
Are there patient assistance programs for Metformin?
Some pharmaceutical companies offer patient assistance programs for Metformin to eligible individuals who meet specific income and insurance criteria. These programs can provide the medication at a reduced cost or for free.
Do I need a prescription to buy Metformin in the USA?
Yes, Metformin is a prescription medication for the treatment of diabetes. You will need a valid prescription from a healthcare provider to purchase Metformin at a pharmacy.
Where can I buy Metformin in the USA?
Metformin is available at most retail pharmacies across the USA with a valid prescription. It can also be purchased through licensed online pharmacies that require a prescription.
Can I buy Metformin online?
Yes, you can buy Metformin online from licensed internet pharmacies that require a prescription. It is important to ensure that the online pharmacy is reputable and requires a valid prescription for Metformin.
How can I verify if an online pharmacy selling Metformin is legitimate?
Legitimate online pharmacies should be accredited by the National Association of Boards of Pharmacy (NABP) and display the VIPPS (Verified Internet Pharmacy Practice Sites) seal. Verify the pharmacy’s credentials on the NABP website.
Can I import Metformin from another country?
Importing prescription medications like Metformin into the USA is restricted and requires approval from the FDA. It is advisable to purchase Metformin from licensed pharmacies within the USA to ensure safety and legality.
What is the typical starting dosage of Metformin?
The typical starting dosage of Metformin for adults is 500 mg twice daily or 850 mg once daily with meals. Dosage adjustments may be made based on your blood sugar levels and response to treatment.
Can the dosage of Metformin be adjusted?
Yes, your doctor may adjust the dosage of Metformin based on your blood sugar levels and how well you tolerate the medication. Dosage adjustments should only be made under medical supervision.
What factors influence the dosage of Metformin?
Factors such as age, kidney function, other medications being taken, and the severity of diabetes influence the dosage of Metformin. Your doctor will determine the appropriate dosage for your individual needs.
How should Metformin be taken to minimize side effects?
To minimize gastrointestinal side effects such as diarrhea and nausea, Metformin should be taken with meals. Starting with a low dose and gradually increasing it can also help reduce side effects.
What should I do if I accidentally take too much Metformin?
If you accidentally take too much Metformin or suspect an overdose, seek medical attention immediately. Symptoms of overdose may include severe nausea, vomiting, dizziness, and lightheadedness.
Why are medical check-ups important while taking Metformin?
Regular medical check-ups are important while taking Metformin to monitor blood glucose levels, assess kidney function, and evaluate any potential side effects or complications.
How often should I see my healthcare provider for check-ups?
The frequency of medical check-ups while taking Metformin varies depending on individual health conditions and treatment response. Generally, healthcare providers recommend check-ups every 3 to 6 months.
What will my healthcare provider monitor during these check-ups?
Your healthcare provider will monitor your blood glucose levels, kidney function (through blood tests), and may also check your liver function and vitamin B12 levels periodically.
Are there specific symptoms I should watch for between check-ups?
While taking Metformin, watch for symptoms such as persistent nausea, vomiting, abdominal pain, unusual tiredness, or signs of low blood sugar (hypoglycemia). Contact your healthcare provider if you experience any concerning symptoms.
Can I adjust the frequency of check-ups based on my health status?
Your healthcare provider will determine the appropriate frequency of check-ups based on your individual health status, response to treatment, and any underlying medical conditions. It is important to follow their recommendations for optimal management of your diabetes.
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