You should talk with your healthcare provider prior to taking this medication if you have:
- Heart problems of any kind, especially congestive heart failure (CHF)
- Had a heart attack or stroke
- Liver problems, including liver failure or cirrhosis
- Low vitamin B12 levels (pernicious anemia)
- Kidney problems, including kidney failure (renal failure)
- An upcoming surgery or procedure (including x-rays and other radiology procedures)
- Any allergies, including allergies to food, dyes, or preservatives.
Also, let your healthcare provider know if you:
- Are pregnant or thinking of becoming pregnant (see Avandamet and Pregnancy)
- Are breastfeeding
- Are having problems getting pregnant
- Are premenopausal without regular menstrual periods
- Drink alcohol.
Tell your healthcare provider about all other medicines you may be taking, including prescription and non-prescription medicines, vitamins, and herbal supplements.
(Click Avandamet Warnings and Precautions for more information on this topic, including information on who should not take this medication.)
In general, type 2 diabetes treatment begins with lifestyle changes (such as weight loss, exercise, and diet). If lifestyle changes are not effective at managing diabetes, medication -- such as Avandamet -- may be necessary.
The main goal of diabetes medicine is to lower blood sugar levels enough to reduce your risk of developing problems related to diabetes, such as heart, nerve, eye, or kidney problems. Because Avandamet can lower blood sugar levels, people may be able to lower their risk for developing problems related to high blood sugar.
For most people, Avandamet is quite effective at controlling blood sugar. It is also generally well tolerated. However, side effects can occur, or the medicine may not work as well as needed. In these cases, you may need to combine Avandamet with another diabetes medicine, such as a sulfonylurea or insulin. You may also wish to consider a substitute for Avandamet. These substitutes could include other combination medications or a different type of diabetes medication.
(Click Avandamet Alternatives to learn more about these alternatives.)
To learn about controlling diabetes through lifestyle choices, click on any of the following eMedTV links: