To avoid experiencing nausea and abdominal pain it is recommended to take Tesmet 500mg Tablet ER with food It is important to take this medication regularly at the same time every day in order to maximize its benefits Do not discontinue using this medicine unless advised by your doctor Your lifestyle plays a crucial role in managing diabetes so it is essential to follow the diet and exercise regimen recommended by your doctor while taking this medication The most commonly reported side effects of this medicine include nausea vomiting changes in taste diarrhea abdominal pain and loss of appetite Some individuals may experience hypoglycemia low blood sugar level when taking this medicine in conjunction with other antidiabetic medications alcohol or if a meal is skipped It is important to monitor your blood sugar levels regularly while on this medication Inform your doctor if you have any kidney liver or heart problems before starting treatment with this medicine Pregnant or breastfeeding women should also consult their doctor prior to taking it Your doctor will conduct kidney function tests before initiating treatment It is advised to avoid excessive alcohol consumption while on this medication as it may increase the risk of encountering certain side effects