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Question: From Toronto, Ontario, Canada: I am a 40 year old female who has had type 1 diabetes (treated with twice daily NPH and Regular) for more than 10 years, my blood sugars have been high, and I have been advised to take Actos once a day.Should I be taking this medication? Are there any side effects I should be aware of? Answer: The rationale for adding Actos [pioglitazone] to an insulin regimen is to decrease the amount of insulin resistance present -- it makes the insulin you take more efficient. The original medication in the category of medications (Rezulin) was taken off the market because of liver toxicity. However, the remaining medications now used appear to have significantly less toxicity. You will still have to have your liver enzymes monitored. There is some tendency to gain weight. However, any time you improve blood sugar control, you can gain weight. If you have a heart problem, some people have noticed a gain in fluid in the legs. This is not common but should be concerning for people who already have problems with this. I would also add that I think a twice a day insulin regimen for type 1 diabetes is not optimal. I would recommend speaking with your physician about a more aggressive insulin regimen as well. JTL [Editor's comment: A more aggressive program for type 1 diabetes would include frequent blood sugar monitoring, carbohydrate counting, regular exercise, and either a basal-bolus insulin program or an insulin pump. WWQ] DTQ-20030206150831 Original posting 5 Mar 2003 Posted to Pills for Diabetes

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Tuesday April 06, 2010 15:09:41
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