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Also watch for signs of high blood sugarhyperglycemiasuch as increased thirst or urinationblurred visionheadacheand tiredness.

Initial and periodic monitoring of hematologic parameterse.ghemoglobin/hematocrit and red blood cell indicesand renal functionserum creatinineshould be performedat least on an annual basisWhile megaloblastic anemia has rarely been seen with metformin therapyif this is suspectedvitamin B 12 deficiency should be excluded.

Limit alcohol while taking this medication because it can increase the risk of developing low blood sugar and lactic acidosisRarelyalcohol can interact with glyburide and cause a serious reactiondisulfiram-like reactionwith symptoms such as facial flushingnauseavomitingdizzinessor stomach painConsult your doctor or pharmacist about using alcohol safely.

NIHNational Institute of Diabetes and Digestive vasotec. and Kidney DiseasesSymptoms and Causes of DiabetesUpdatedNov 2016.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effectsMany people using this medication do not have serious side effects.

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