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Question: From Chicago, Illinois, USA: I have the same problem as the person who asked a previous question. However, I currently take Actos [pioglitazone] once per day along with Glucophage [metformin] twice per day, and Prandin was started just two weeks ago because my A1c was 8.3%. Answer: I am not sure what the specific problems are. The previous questions were raised in a patient on insulin. Prandin (repaglinide) works differently in that it initiates insulin secretion from your native pancreas. High fasting blood sugars are a suggestion that the glucose released by the liver is too high and needs more insulin to suppress its presence. The presence of a Somogyi Effect is highly controversial, and I personally doubt it exists. To say you have a problem with Prandin when you are also on other medications is also confusing. JTL DTQ-20030812173702 Original posting 21 Aug 2003 Posted to Daily Care and Type 2

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Last Updated: Tuesday April 06, 2010 15:09:46
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