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Intestinal adsorbentsfor examplecharcoaland digestive enzyme preparations containing carbohydrate-splitting enzymesfor exampleamylasepancreatinmay reduce the effect of Precose and should not be taken concomitantly.

Jay WMarksMDis a board-certified internist and gastroenterologistHe graduated from Yale University School of Medicine and trained in internal medicine and gastroenterology at UCLA/Cedars-Sinai Medical Center in Los Angeles.

During treatment initiation and dose titrationsee belowone-hour postprandial plasma glucose may be used to determine the therapeutic response to PRECOSE and identify the minimum effective dose for the patientThereafterglycosylated hemoglobin should be measured at intervals of approximately three monthsThe therapeutic goal should be to decrease both postprandial plasma glucose and glycosylated hemoglobin levels to normal or near normal by using the lowest effective dose of PRECOSEeither as monotherapy or in combination with sulfonylureasinsulin or metformin.

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