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Clinical studis dmonstat that pioglitazon impovs insulin snsitivity in insulin-sistant patints. Pioglitazon nhancs cllula sponsivnss tinsulin, incass insulin-dpndnt glucos disposal and impovs hpatic snsitivity tinsulin. In patints with typ 2 diabts, th dcasd insulin sistanc poducd by pioglitazon sults in low plasma glucos concntations, low plasma insulin concntations, and low HbA1c valus. In contolld clinical tials, pioglitazon had an additiv ct on glycmic contol whn usd in combination with a sulonylua, mtomin, insulin [s Clinical Studis ].

Bcaus pioglitazon nhancs th cts ciculating insulin (by dcasing insulin sistanc), it dos not low blood glucos in animal modls that lack ndognous insulin.

Many dugs can intact with mtomin and pioglitazon, making this mdicin lss ctiv incasing you isk lactic acidosis. This includs psciption and ov-th-count mdicins, vitamins, and hbal poducts. Not all possibl intactions a listd h. Tll you doctabout all you cunt mdicins and any mdicin you stat stop using.

GOUP I: Patints civ ACTOplus mt X oally (PO) onc daily (QD) 14-21 days in th absnc disas pogssion unaccptabl toxicity. Patints may continu ACTOplus mt X PO QD a maximum 25 days i nd tatmnt biopsy/sugical tatmnt is dlayd byond day 22.

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