Your creatinine level has increased slightly, indicating a mild change in kidney function. Because metformin is processed by the kidneys, we monitor this closely. A creatinine of 1.3 mg/dL is often still safe for metformin, but doctors use this value to calculate your eGFR (estimated Glomerular Filtration Rate), which is a more accurate measure of kidney health. It is generally safe to continue your current dose for now. However, please consult your prescribing doctor soon. They will calculate your eGFR to confirm if 1500 mg daily remains safe or if a minor dose adjustment is needed. Do not stop taking your medication without their guidance.

A postprandial blood sugar of 344 mg/dL is high, but please do not panic; this is manageable. Metformin 1g daily is a standard dose, but it is currently not sufficient to control your blood sugar. You should not adjust your dosage or change medications on your own. Please consult your doctor promptly. They will likely need to adjust your treatment plan, which may involve increasing your Metformin dose to its maximum limit or adding another generic medication (such as a DPP-4 inhibitor or SGLT2 inhibitor). For now, stay well-hydrated, choose low-carbohydrate meals, and seek medical advice soon.

Dehydration, hot weather, fever, stress, excessive salt consumption, high blood sugar, or diabetes can all cause excessive thirst for several days. It is crucial to monitor your blood sugar levels as soon as possible because the thirst persists even after consuming water, particularly if you also experience frequent urination, fatigue, impaired vision, or weight loss. Eat light, healthful meals, stay away from alcohol and sugar-filled beverages, and drink plenty of clean water. If the issue persists or gets worse, please see a doctor for a blood sugar and general health assessment.