hallii said:
Crush them up between two spoons and disolve them in some warm (not hot) water or milk.
NEVER do this with any tablet without first checking with a pharmacist or doctor.
And if it's slow release metformin it must not be broken up at all.
iirc, the slow release metfmormin were coated, and the generic regular ones weren't, so you might find the slow release ones easier to swallow. Coated tablets stick to your tongue and throat less.
How much water are you drinking with each tablet? Try drinking lots more.
Where are you putting the tablet in your mouth when you try to swallow it? You might think this is a silly question, but I have seen people put tablets on the tip of their tongue and then say they can't swallow it - don't do this, put it to the back of your mouth.
What dose are you on? I can't remember if the 500mg tablets were smaller than the 1000mg ones, but they might be, and if they are ask your doctor if you can have those instead.
Have you told your doctor you have difficulty swallowing? You should mention it.
Finally get a different diabetes nurse - your one sounds very dangerous, if she would put someone on insulin just because they couldn't tolerate metformin - there are other types of tablet to try first. You don't want to be on insulin.