Metsmall is used to treat high blood sugar levels that are caused by a type of diabetes mellitus or sugar diabetes called type 2 diabetes With this type of diabetes insulin produced by the pancreas is not able to get sugar into the cells of the body where it can work properly Using Metsmall alone with a type of oral antidiabetic medicine called a sulfonylurea or with insulin will help to lower blood sugar when it is too high and help restore the way you use food to make energy Many people can control type 2 diabetes with diet and exercise Following a specially planned diet and exercise will always be important when you have diabetes even when you are taking medicines To work properly the amount of Metsmall you take must be balanced against the amount and type of food you eat and the amount of exercise you do If you change your diet or exercise you will want to test your blood sugar to find out if it is too low Your doctor will teach you what to do if this happens Metsmall does not help patients does not help patients who have insulin dependent or type 1 diabetes because they cannot produce insulin from their pancreas gland Their blood glucose is best controlled by insulin Injections Metsmall is available only with your doctor s prescription Once a medicine has been approved for marketing for a certain use experience may show that it is also useful for other medical problems Although this use is not included in product labeling Metsmall is used in certain patients with the following medical conditions Polycystic ovary syndrome

Some diabetic patients taking Metsmall 500 Tablet 28 s may develop a serious condition called lactic acidosis In lactic acidosis there is too much lactic acid accumulated in the blood So your liver and kidney proper functioning is required for the elimination of excess lactic acid from the blood You should not take metformin if you have kidney disease as measured by a blood test Metsmall 500 Tablet 28 s may lower vitamin B 12 levels so try to have blood test annual blood and vitamin Metsmall 500 Tablet 28 s when used with insulin may extremely lower the blood sugar level So the doctor may lower the dose of insulin