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Dipa Kamdar, Senior Lecturer in Pharmacy Practice, Kingston University

The 10 pence pill that underpins diabetes care – and may do much more besides

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Metformin has a strong claim to being one of the most influential medicines of the past century. For decades, it has underpinned the treatment of type 2 diabetes, helped millions of people control their blood sugar, and inspired a second life in research on everything from ageing and cancer to heart health and fertility.

Its story begins not in a laboratory but in a plant, galega officinalis, also known as French lilac or goat’s rue. For centuries, the plant was used in folk remedies for symptoms we now recognise as associated with diabetes, including excessive thirst and frequent urination. In the early 20th century, scientists isolated blood sugar-lowering compounds from it. After years of refinement and testing, metformin emerged as a relatively safe and effective medicine, and was introduced in the UK in the late 1950s.

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