D Met

Yes, D Met can cause low blood sugar (hypoglycemia). However, this can also occur if you delay or miss a meal, drink alcohol, exercise more than usual, can't eat due to stomach upset, and taking other antidiabetic medicine with metformin. So, regular monitoring of blood glucose level is needed and be cautious of symptoms of hypoglycemia, always keep glucose-rich food with you. 

D Met is not a known cause of alopecia (hair loss). However, the conditions treated by D Met type 2 diabetes and PCOS, often list hair loss as a possible symptom.

D Met should be taken with food to reduce stomach and bowel side effects, which may experience the first few weeks of treatment. Also, exercise regularly and test for sugar in your blood or urine as directed.

Yes, D Met can cause some sleep problems, especially insomnia. On the other hand, D Met has proven to be useful for preventing sleep apnea. The exact relationship between D Met and sleep problems is still not clear, and further studies are needed for a clearer understanding.

Lactic acidosis associated with D Met treatment is a rare but fatal adverse effect. Lactic acidosis appears to result from biguanide interference causing an increase in production and decrease in clearance of lactate leading to higher cellular lactate levels. A decrease in pyruvate carboxylase activity, the rate-limiting enzyme in the formation of glucose from lactate, can also decrease hepatic metabolism of lactate. leading to increasing lactic acidosis. Signs and symptoms of D Met induced lactic acidosis are nonspecific and include anorexia, nausea, vomiting, altered level of consciousness, hyperpnoea, abdominal pain, and thirst.