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Adjunct to diet and exercise in type 2 diabetes in patients already on pioglitazonea sulfonylureaor in patients on either pioglitazone or a sulfonylurea who need additional glycemic control.

Using this medicine with any of the following is usually not recommendedbut may be unavoidable in some casesIf used togetheryour doctor may change the dose or how often you use this medicineor give you special instructions about the use of foodalcoholor tobacco.

This medication can cause low blood sugarhypoglycemiaThis may occur if you do not consume enough calories from food or if you do unusually heavy exerciseSymptoms include cold sweatblurred visiondizzinessdrowsinessshakingfast heartbeatheadachefaintingtingling of the hands/feetand hungerIt is a good habit to carry glucose tablets or gel to treat low blood sugarIf you don’t have these reliable forms of glucoserapidly raise your blood sugar by eating a quick source of sugar such as table sugarhoneyor candyor drink fruit juice or non-diet sodaTell your doctor about the reaction right awayTo help prevent low blood sugareat meals on a regular scheduleand do not skip mealsCheck with your doctor or pharmacist to find out what you should do if you miss a meal.

Avoid alcoholIt lowers blood sugar and may interfere with your diabetes treatment.

Initial dosepioglitazone 30 mg-glimepiride 2 mg or pioglitazone 30 mg-glimepiride 4 mg orally once a day.

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