Individuals with diabetes who take Metformin may experience symptoms resembling low blood sugar, particularly if they maintain long gaps between meals or engage in high levels of physical activity, such as walking 10,000 steps daily. Dr. Vijay Negalur, Head of Diabetology at KIMS Hospitals in Thane, explains that while Metformin enhances insulin sensitivity and reduces liver glucose production, it does not directly cause hypoglycemia. Instead, symptoms like dizziness or weakness may stem from a rapid decline in blood sugar levels due to inadequate energy intake from meals. To mitigate these symptoms, Dr. Negalur recommends consuming smaller, more frequent meals that include protein, healthy fats, and complex carbohydrates. Additionally, snacks such as nuts or fruit with peanut butter can help maintain stable sugar levels. Regularly monitoring blood sugar during these episodes can aid in determining the underlying cause of symptoms, ensuring effective management of diabetes.