General
Metformin
Virtual visit

Metformin

With our quick and easy online prescription process, you can manage your health effortlessly — whether you need a first-time prescription for Metformin or a refill of an existing one.

Licensed providers in all 50 states

Expert-guided, evidence-based treatments

Skip the trip to the doctor's office

Visit options

Costs shown are for the visit only. You'll pay for medication at your preferred pharmacy.

Video Visit

$25

Est. or $100 w/o insurance

Chat Visit

$30

w/o insurance

Most insurance accepted

Board-certified

No hidden fees

Available nationwide

What is Metformin?

Metformin is one of the most widely prescribed medications in the world, used as a first-line treatment for Type 2 diabetes. It works primarily by reducing the amount of glucose the liver releases into the bloodstream and by making cells more responsive to insulin—without stimulating the pancreas to produce more insulin. This means it lowers blood sugar effectively without the risk of hypoglycemia (dangerously low blood sugar) that comes with some other diabetes medications. It's taken once or twice daily with meals and has been used safely for decades.

Hepatic glucose reduction

Suppresses the liver's excessive release of stored glucose into the bloodstream—a major driver of elevated fasting blood sugar in Type 2 diabetes—without shutting down glucose production entirely.

Insulin sensitization

Improves how effectively muscle and fat cells respond to insulin, allowing them to absorb glucose from the bloodstream more efficiently and reducing the burden on the pancreas.

Weight-neutral to weight-friendly

Unlike many diabetes medications, Metformin doesn't cause weight gain and may modestly support weight loss in some patients—an important advantage given the relationship between weight and blood sugar control.

Virtual visit with clinician

Ongoing support, always available.

You’ll be supported by experienced clinicians who care for a wide range of health needs, from everyday concerns to more complex conditions.

Our clinicians track your progress over time and adjust your care as needed. If medication is prescribed, we’ll manage dosing and monitor for side effects. If lab testing is recommended, we review results and refine your plan accordingly. You’re never left to navigate care on your own.

All your care in one place. That’s the General Medicine difference.

We help you understand your options, connect you to the right clinicians, manage prescriptions, coordinate any needed evaluations, and keep an eye on your overall health along the way. It’s comprehensive care that looks at the full picture — your goals, your history, your lifestyle — and makes it simple to move forward with confidence.

Your care plan
Clinician

What our customers have to say

I feel like I’m finally on the right path to improving my health with the right support now! It’s so refreshing and reassuring.

Emerald

My experience with General Medicine was amazing. The understanding and care that was taken to figure out what is exactly going on with me. I feel like a weight has been lifted off of me.

Kaylee

I couldn’t be happier with my experience with General Medicine! They are fast, responsive, kind and knowledgeable. It is much easier, more affordable and faster.

Nika

Get the care you need, without the wait.

Frequently Asked Questions

How long before metformin lowers my blood sugar?

Metformin begins working within a few days, but its full effect on blood sugar and A1C typically develops over 1–2 months. It's most effective when combined with diet and lifestyle changes.

Should I take metformin with food?

Yes. Taking metformin with meals — particularly the extended-release version with the largest meal of the day — significantly reduces the nausea and stomach upset that some people experience.

Can metformin cause low blood sugar?

Metformin on its own does not typically cause hypoglycemia — a key advantage over many other diabetes medications. Low blood sugar risk increases only if combined with insulin or sulfonylureas.

What side effects might I experience?

GI side effects — nausea, diarrhea, and stomach discomfort — are most common, especially when starting. They often improve over the first few weeks. Taking it with food and using extended-release formulas helps.

Can I take metformin if I have kidney disease?

Metformin is not recommended when kidney function is significantly reduced (eGFR below 30) due to the rare risk of lactic acidosis. Your clinician will monitor kidney function and adjust or discontinue as needed.
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