Start metformin as follows, increasing the dose if and when you have no more side
effects (most people only have mild side
effects that ressolve within a few days).
1. Start 1/4 tablet at night
2. Increase to 1/2 tablet at night
3. Increase to 1 tablet at night
4. Increase to 1 tab at night at 1 in morning. (increase further if need be up to Max of 2 g/day).
Give the metformin 1 month trial once you are at Max dose.