Why metformin is still a first-line choice

Metformin has been around for decades, costs just a few dollars a month, and is still one of the most prescribed medications in America.

With all the attention on Ozempic, Mounjaro, Wegovy, and other newer diabetes medications, many patients are surprised to learn that Metformin remains a cornerstone of type 2 diabetes treatment in 2026.

Is Metformin still the top choice for blood sugar control? Here is the breakdown on why this medication remains a staple.

We look at how Metformin works to manage glucose levels effectively, its role in weight management, and why it is so widely prescribed today. This overview is for anyone managing type 2 diabetes or curious about common treatment options.