DrSubodh Chaturvedi on Instagram: "Adrenal Insufficiency Stop Under-Dosing Metformin! Metformin is the gold standard for Type 2 Diabetes, but are we using it to its full potential? A common clinical error is keeping patients on sub-optimal doses (like 500mg OD or BD) and then adding a second drug prematurely. Here is the correct titration protocol to maximize efficacy: Start Low: Begin with 500mg OD with the morning meal. Mitigate Side Effects: Instruct the patient to take it with the first bite