How should acarbose be properly used to ensure maximum efficacy?
The mechanism of this medication primarily involves inhibiting the breakdown of polysaccharides in food, thereby slowing down sugar absorption and reducing postprandial hyperglycemia.
Acarbose is generally available in two dosage forms: capsules and tablets.
Most individuals with diabetes should be aware that acarbose is mainly used to control postprandial blood glucose, but its administration methods differ.
The two forms are distinct: capsules must be swallowed whole, while tablets must be chewed with the first bite of the main meal to achieve maximum efficacy. This point is particularly important.
For example: if your first bite is vegetables or meat, will taking acarbose be effective? It must be chewed with the first bite of the main meal to work properly.
Some may ask whether Glucobay is the same as acarbose. Yes, Carbosin, acarbose, and Glucobay all belong to the same class of medications.
The typical dosage strength is 50 mg, though 100 mg is also available but less common.
The usual dosage is one 50 mg tablet with breakfast, lunch, and dinner. If postprandial control is inadequate, the dose can be increased to two tablets per meal, meaning the maximum daily dose is 200 mg.
Those who have taken this medication know it can cause some embarrassment due to bloating and increased flatulence. However, taking a walk after meals can alleviate these symptoms.
This medication offers flexibility. Some individuals with diabetes who regularly use insulin may have stable blood glucose levels but occasionally face situations like social gatherings or meals with more carbohydrates and fewer vegetables. In such cases, an additional tablet of acarbose can be taken as needed to prevent significant postprandial blood glucose fluctuations. Therefore, this medication can be carried around like candy in a pocket, ready for use whenever necessary. Think of it as a small treat rather than a medication to reduce psychological burden.
Another point is that acarbose can be combined with any other glucose-lowering medications, but drugs with similar mechanisms should not be used redundantly. For example, if someone is already using insulin aspart to lower postprandial blood glucose, there is generally no need to add acarbose unless under specific circumstances.
If readers are unsure whether they are redundantly using medications to lower postprandial blood glucose, they can ask me for guidance, and I will help adjust their regimen accordingly.