Ideas in this flowchart

• Metformin and Kidney Function
• Metformin Handling
• Metformin does not cause kidney damage
• Kidneys remove Metformin
• Concern about Metformin
• Metformin can build up
• Lactic acidosis risk
• Kidney function monitoring
• Doctors check kidney function before starting
• Monitoring over time
• Adjusting Metformin based on kidney function
• Normal kidney function: Metformin safe
• Declining kidney function: Adjust dose or stop
• Importance of blood tests