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If you take acarbose with insulin or other diabetes medicationsyour blood sugar could get too lowLow blood sugarhypoglycemiacan occur if you skip a mealexercise too longdrink alcoholor are under stress.

Symptoms of high blood sugarhyperglycemiainclude thirstincreased urinationconfusiondrowsinessflushingrapid breathingand fruity breath odorIf these symptoms occurtell your doctor right awayYour dosage may need to be increased or you may need other drugs.

In contrast to sulfonylureasPrecose does not enhance insulin secretionThe antihyperglycemic action of acarbose results from a competitivereversible inhibition of pancreatic alpha-amylase and membrane-bound intestinal alpha-glucoside hydrolase enzymesPancreatic alpha-amylase hydrolyzes complex starches to oligosaccharides in the lumen of the small intestinewhile the membrane-bound intestinal alpha-glucosidases hydrolyze oligosaccharidestrisaccharidesand disaccharides to glucose and other monosaccharides in the brush border of the small intestineIn diabetic patientsthis enzyme inhibition results in a delayed glucose absorption and a lowering of postprandial hyperglycemia.

Use this medication regularly to get the most benefit from itTo help you remembertake it at the same times each day.

During pregnancythis medication should be used only when clearly neededDiscuss the risks and benefits with your doctor.

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