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Acarb (Acarbose)
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Acarb

Acarb works best when it is taken with the first bite of your meal. If you forget, take it as soon as you remember as long as you aren't done eating. If you don't remember until the end of your meal, skip that dose and don't double up at the next meal.

Other names for this medication:
Abacus, Acarb, Acarbose, Acarex, Acarwin, Acraz, Asucrose, Diabose, Discarb, Disorb, Exforge, Glubose, Glucar, Glucarb, Glucobay, Glucobose, Gludase, Hebose, Olcarbos, Prandase, Rebose, Recarb, Subase, Zebay, Zebose

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Also known as: Acarbose

Description

{name} slows the digestion of carbohydrates in the body, which helps control blood sugar levels.

{name} is used together with diet and exercise to treat type 2 diabetes. This medicine is sometimes used in combination with insulin or other diabetes medications you take by mouth.

Dosage

Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.

Take Acarb with the first bite of a main meal, unless your doctor tells you otherwise.

Your blood sugar will need to be checked often, and you may need other blood tests at your doctor's office.

If you take Acarb with insulin or other diabetes medications, your blood sugar could get too low.

Low blood sugar (hypoglycemia) can happen to everyone who has diabetes. Symptoms include headache, hunger, sweating, confusion, irritability, dizziness, or feeling shaky. Always keep a source of dextrose (D-glucose) with you in case you have low blood sugar. When taking Acarb, dextrose will work better than cane sugar or table sugar in treating hypoglycemia. Sources of dextrose include honey, dates, raisins, plums, dried prunes, grapes, or glucose tablets. Be sure your family and close friends know how to help you in an emergency.

If you have severe hypoglycemia and cannot eat or drink, use a glucagon injection. Your doctor can prescribe a glucagon emergency injection kit and tell you how to use it.

Also watch for signs of high blood sugar (hyperglycemia) such as increased thirst, increased urination, hunger, dry mouth, fruity breath odor, drowsiness, dry skin, blurred vision, and weight loss.

Check your blood sugar carefully during times of stress, travel, illness, surgery or medical emergency, vigorous exercise, or if you drink alcohol or skip meals. These things can affect your glucose levels and your dose needs may also change. Do not change your medication dose or schedule without your doctor's advice.

Acarb is only part of a complete treatment program that may also include diet, exercise, weight control, regular blood sugar testing, and special medical care. Follow your doctor's instructions very closely.

Store at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use.

Detailed Acarb dosage information

Overdose

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

In case of overdose, do not eat or drink anything containing carbohydrates for the next 4 to 6 hours.

Storage

Store at room temperature below 25 degrees C (77 degrees F) away from moisture and heat. Keep container tightly closed. Throw away any unused medicine after the expiration date. Keep out of the reach of children.

Side effects

The most common side effects associated with Acarb are:

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Side effect occurrence does not only depend on medication you are taking, but also on your overall health and other factors.

Contraindications

You should not use Acarb if you are allergic to it, or if you have:

inflammatory bowel disease; a blockage in your intestines; a digestive disorder affecting your intestines; intestinal ulcer (of your colon); cirrhosis of the liver; or diabetic ketoacidosis (call your doctor for treatment with insulin).

To make sure Acarb is safe for you, tell your doctor if you have:

liver disease; kidney disease; a bowel or intestinal disorder; or a stomach disorder.

Acarb is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

It is not known whether acarbose passes into breast milk or if it could harm a nursing baby. You should not breast-feed while you are using acarbose.

Acarb is not approved for use by anyone younger than 18 years old.

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actinomycetemcomitans can activate innate immune cells through Toll-like receptors (TLRs), which are molecules that recognize structural components conserved among microorganisms. As is commonly used in solution NMR, a compensatory echo period is used to refocus the unwanted chemical shift evolution of Calpha spins, which takes place during the off-resonance selective pulse. The intron/exon structure of the lombricine kinase gene was determined for these two species as well as two additional oligochaetes, Lumbriculus variegatus and Tubifex tubifex, and compared with available data for annelid phosphagen kinases. Pooling is unlikely to reduce sensitivity enough to lead to significant preventable vertical transmission, and is a cost-effective and valid strategy in areas of low seroprevalence. A county birth cohort, identified using electronic birth certificates, was compared with those who migrated into the area (hereafter, in-migrants). Deciliation is associated with dramatic remodeling of epithelial cell junctions and surface domains. To determine the effect on the occurrence of urosepsis of a treatment with a short course of antibiotics and indwelling urethral catheter replacement in clinically asymptomatic intensive care unit (ICU) patients with a positive urine culture occurring at least 48 h after catheterization. Tumor-stroma co-evolution in prostate cancer progression and metastasis. The Alpha consensus meeting on cryopreservation key performance indicators and benchmarks: proceedings of an expert meeting. We found that changes in the intrinsic network dynamics due to the formation of structural network heterogeneities alone act as a dynamical and regulatory mechanism for stimulus novelty and familiarity detection, thereby controlling memory management in the context of memory consolidation.

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We report a case of placenta increta management comprising preoperative placement of a pelvic artery balloon catheter, prophylactic balloon occlusion after delivery of the fetus, and embolization-assisted resection of the invaded uterine wall. In this case, the activated cyano group is directly attacked by the hydroxyl group of the starting delta-hydroxynitrile. In this report we present four infants with Down syndrome who have pericardial effusion due to congenital hypothyroidism. Dilute sulfuric acid cycle spray flow-through pretreatment of corn stover for enhancement of sugar recovery. We find that the remote SH2 domain in each of these substrates is required to achieve efficient tyrosine phosphorylation by Itk and extend this observation to two other Tec family kinases, Btk and Tec. The PEEP delivered was unrelated to the gas flow into the device. Similarly, aspirin at all concentrations failed to inhibit thrombin-induced platelet P-selectin or GPIIb-IIIa expression and this was not influenced by the presence of neutrophils. LyeTx I, a potent antimicrobial peptide from the venom of the spider Lycosa erythrognatha. The regulatory mechanism (s) of adipocyte differentiation and proliferation.

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Gastrointestinal stromal tumors: diagnostics, therapy and beyond?. Importantly, a profile consisting of a high VEGF concentration initially, followed by a decreasing concentration over time was found to yield optimal angiogenic sprouting. 3,5,7-Trihydoxyflavone (galangin) was the most potent inhibitor, followed by 3-hydroxyflavone and flavone. Due to its dissecting nature, wall friability and lack of a substantial neck can make surgical clipping and selective coiling difficult and risky. A larger, adequately powered, randomized controlled trial of tilt-training is now needed. To facilitate genotyping of the tau gene, we standardized the conditions for silver-based detection of the tau gene dinucleotide polymorphism. As patients were not randomized to specific lithium levels, potential confounders could not be completely ruled out.

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Expanded health education is required to improve knowledge about this condition among the population. Patients were evaluated before, immediately after, and at 2 years after surgery for radiographic parameters, complications, and outcome, as well as on the basis of the Scoliosis Research Society (SRS) questionnaire. The relative intensity of peak 5a (a low-temperature satellite of peak 5 arising from localised recombination) was found to significantly increase at higher dose levels due to preferential electron and hole population of the trapping/recombination complex giving rise to composite glow peak 5. A five-year-old domestic shorthair cat underwent general anaesthesia and tooth extractions. The prevalence of extended-spectrum beta-lactamases (ESBLs) in Enterobacter cloacae remains unclear in Taiwan. Nonlamellar lipid arrangements, including cubosomes, appear in unhealthy cells, e.g., when they are subject to stress, starvation, or viral infection. A gold(III) ion-selective fluorescent probe and its application to bioimagings. Gold Nanoclusters Promote Electrocatalytic Water Oxidation at the Nanocluster/CoSe2 Interface. Common 3D acquisition techniques, such as laser scanning and stereo capture, are realistically only 2.5D in nature.

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Parstatin, the cleaved peptide on proteinase-activated receptor 1 activation, is a potent inhibitor of angiogenesis. In our view, there are apparently two different mechanisms leading to LAH: exacerbation of a pre-existing state of hyperparathyroidism and multiglandular disease. Plasma prorenin measurements may be useful for predicting which patients will develop vascular injury and for monitoring the progression of the disease. We included studies of women using hormonal contraceptives and antiretrovirals concurrently. Despite a common belief that patients seek care in the urgent care setting primarily for economic reasons, this study suggests that patients choose the urgent care setting based largely on convenience and more timely care.

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Due to time-sensitive pharmacologic management and possibly far-reaching public health issues, providers should be aware of atypical influenza presentations, such as parotitis. Self-calibrating GRAPPA operator gridding for radial and spiral trajectories. Besides possible Coulomb effects, the only other contribution to the ground state energy of such a system arises from shell effects. This was a multicenter study (Canadian Task Force classification II-3). Till now, it remains hard to screen for infiltration at earlier stages, especially the differentiation between HGEIN and early infiltrative carcinoma. Two senior residents with experience of over 100 TS implants recorded impressions on their first 15 infrapubic IPP cases via questionnaire. Homeless patients in our community perceived suboptimal coordination in transitions of care from the hospital to the shelter.

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Overall, the automatic SPF clustering approach agrees very well with the expert-curated CATH classification, and ROC plot analyses of the database searches show that the approach has very high precision and recall. This relocation does not depend on kinetochore biorientation, but requires a functional DASH complex. Band and supershift assays with the NQO1 gene ARE and nuclear proteins demonstrate that small MafG and MafK bind to the ARE as Maf-Maf homodimers and Maf-Nrf2 heterodimers. Adults who are unaware of this fact risk unanticipated expenses after retirement. Nitrogen doped TiO(2)/Ti photoelectrodes were prepared by a sequence of anodization and plasma based ion implantation (PBII). We constructed a simple optical near view system for wide visual field stimulation, and examined the topology of retinotopic areas. Three of 11 sporadic gliomas showed a deletion of one copy of the MET gene, and a specific METgene missense mutation in the remaining gene copy was detected in one of those tumors.

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In fish, melatonin is reported to be produced mainly in the pineal organ, but there is also evidence for the presence of melatonin in a number of extrapineal sites where it could act as an intracellular mediator or paracrine signal. The dog experienced tumor reduction from the first cycle of electrochemotherapy (ECT) and complete remission by the time of its fourth session. This indicated that salivary alpha-amylase is associated with perceived satiety controlled by caloric perception downstream of the oral cavity. The concentration-dependent effects of indomethacin on sulfasalazine intestinal epithelial transport were investigated across Caco-2 cell monolayers, in both apical to basolateral (AP-BL) and BL-AP directions. brasiliensis females were identified by means of SPME, GC-FID, and GC-MS, with achiral and chiral columns. A literature search on Czechoslovakian lenses was made that spanned the first decade of their use and included peer-reviewed journals, non-refereed publications and a number of archived documents. Integrins and GTPases in tumour cell growth, motility and invasion. The effect of pineal peptide preparations on proliferative activity in organotypic culture of the preoptic hypothalamus area. Predictors of delivery of hospital-based heart failure patient education: a report from OPTIMIZE-HF. In the field application, it is suggested that the mixed second SP equation be employed in water-quality simulation when the monitoring data exhibits a faster trend in BOD decay.

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Determination of structural fluctuations of proteins from structure-based calculations of residual dipolar couplings. Thus, functional defects caused by a subset of pathogenic mutations may result from the inherent structural fragility of human mitochondrial tRNAs. Screening of 5-HT1A receptor antagonists using molecularly imprinted polymers. Lessons learned for a more efficient knowledge and technology transfer to South American countries in the fields para que sirve el glucophage xr 500 mg of solid waste and contaminated sites management. In 2005, after an epidemic infection of Chikungunya fever in islands in the Indian Ocean, infected patients exhibited severe musculoskeletal disorders. The relationship of community biopsy-diagnosed cervical intraepithelial neoplasia grade 2 to the quality control pathology-reviewed diagnoses: an ALTS report. Methylphenidate was associated with significant improvement that was most evident at the .25- and .5-mg/kg doses.

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Although the expression of genes involved in adipocyte differentiation and lipid metabolism in the mesenteric WAT was essentially unchanged, the expression of uncoupling protein 2 potentially involved in energy dissipation was significantly increased. The requirement for therapeutic drug monitoring shown in previous studies raises the necessity of acquiring accurate and sensitive methods to measure MPA and also its metabolite mycophenolic acid glucuronide (MPAG). Measurements of cardiac SK activity and S1P parallel these observations. The neurons with the NaP current showed spontaneous bursting activity in the absence of external stimulation. The signal intensity may vary depending on the protein content of the cyst. The system should assist radiologists and clinical specialists in CAD of breast cancer. Evaluation of the effects of the marine toxin okadaic acid by using FETAX assay. This biomass is problematic in common energy conversion techniques, e.g. Prognosis after surgical therapy for pancreatic cancer is poor and has been attributed to early lymph node involvement as well as to a strong tendency of cancer cells to infiltrate into the retropancreatic tissue and to spread along the peripancreatic neural plexuses.

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Two methods are described for biasing conformational search during pharmacophore elucidation using a multiobjective genetic algorithm (MOGA). Evaluation on the psychosocial status of orthognathic surgery patients. A total of 427 patients consulted in the hospital in the period from 2000 to 2005 were investigated. Reallocating a small amount of short or prolonged sitting time with standing or stepping may improve 2-hour glucose, fasting and 2-hour insulin and insulin sensitivity. Growth parameters and specific activities of enzymes from the phenylpropane as well as the lignan specific biosynthetic pathway were measured during a culture period of 16 days. These differences can be explained not only by different regional histories of natural iodine deficiency but also by current differences in the iodine supply under an identical nationwide iodine fortification program. By combining experimental data and mathematical modeling, we addressed the reasons for the predominance of this specific genotype.

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Association between air pollution and lung function growth in southern California children. The primary outcomes were the proportion of incident TB cases with MDR at 2012 and the change trend during 2003-2012. In situ identification/quantification of tumor cells is achieved with a detection limit of 4000 cells per 700 microL of suspension. On fertilization in Chaetopleura apiculata and selected Chitonida. A systematic review of treatments for constipation in children and young adults undergoing cancer treatment. coli within CHO-DAF, CHO-CEACAM1, CHO-CEA, or CHO-CEACAM6 cells occurs through a microfilament-independent, microtubule-dependent, and lipid prilosec 60 mg raft-dependent mechanism. A feed-forward, back-propagation neural network to predict discharge destination.

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A mechanism of the formation of charged states in polyaniline and their equilibrium is given. Aberrant cerebellar connectivity during major depression may also imply a substantial role for the cerebellum in the pathophysiological models of depression. Recent lithium-ion half-cell tests have shown that lithium ion-exchanged Nafion (designated as Li-Nafion) and sodium alginate are highly promising binders for nanoparticle silicon electrodes. The reactions in the other groups given wild-type or C8/119S also tended to decrease in severity in comparison with the animals of the PBS group. The interpretation of national standards or guidelines, and the specific adaptation to the vagaries of individual institutions and programs, can lead to significant variability in implementation and potentially in outcomes. 18 consecutive patients (34 eyes) were enrolled in this study, and asked to undergo phakic IOL implant to correct high myopia or hyperopia.

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Fetal liver cells (FLC) are attractive candidate donor cells because of their high proliferative capacity. Polyphosphates as possible dissolving agents for calcium pyrophosphate dihydrate crystals in chondrocalcinosis disease. Based on the investigation in the implant medical device tracking system used in Shanghai, This paper proposes a solution to optimize this system. When confronted with a cardiac arrest, medical students at the time of their graduation substantially delayed evidence-based life-saving measures like defibrillation and provided only half of the resuscitation support provided by experienced general practitioners. The technique of vascular delay has been used by plastic surgeons for nearly 500 years and has proven useful for reliably transferring tissue and allowing for a greater volume of tissue to be reliably harvested. This report presents a case of severe asthmatic attack and adult respiratory distress syndrome, which occurred in an asthmatic subject following acute short-term exposure to commonly used cleaning detergents. This study demonstrates that the expression of arginase I and ODC is increased in airways of smoking compared with nonsmoking asthmatic subjects and in vitro by nicotine. This preference resulted in various nucleation patterns, such as zigzag stripes and doublet islands, by properly choosing the growth condition.

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Recent sequential treatment studies have provided state-of-the-art knowledge about the need for multiple steps in order to achieve remission. There was no statistically significant difference in malondialdehyde concentration or ferric reducing antioxidant power, comparing patients with versus without neck secondaries, and patients with early stage versus late stage tumours. Quantitation of isoprostane isomers in human urine from smokers and nonsmokers by LC-MS/MS. In strong contrast, transfection of plasmids expressing CD83 and a mutant ICP0 defective in its RING finger-mediated E3 ubiquitin ligase function did not reduce CD83 expression. However, not all patients with LADA develop the need for insulin treatment, indicating the heterogeneity of LADA. At the autopsy, 2 months after the projected complete degradation time of the 3.0 x 10 mm(2) stent, no solid compounds were detected, and the vessel diameter had increased slightly to 3.7 mm. Since then, virtual colonoscopy has been shown to be extremely safe and well tolerated by patients. Furthermore, Bax and Bcl-2 expressions were observed with immunohistochemiatry.

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However, cartap was proved, via vitro assay, to have no effect on proteolytic activity of hatching enzyme. The dose of itraconazole was reduced to 200 mg daily as recommended by current guidelines, and therapeutic drug monitoring of both itraconazole and lopinavir concentrations confirmed that no further dosage adjustments were necessary. The marginal cells of the stria were thin and lacked basal infoldings. Adapting the Bird Mark 7 to deliver noninvasive continuous positive airway pressure: a bench study. Glutamine:fructose-6-phosphate amidotransferase (GFAT), the rate-limiting enzyme of the HBP, was overexpressed in HepG2 cells by use of an adenoviral expression system. Hypothesis: proposals for the management of a neonate at risk of hyperammonaemia due to a urea cycle disorder. Angioplasty and intra-arterial drug therapy are effective treatments, with an acceptable morbidity and mortality.

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Pertinent differences between each of these tumors and GIST in terms of gross appearance, histologic features, and immunophenotype will be emphasized. The presence of Lewis acids strongly influences the distribution of products from alkene ozonolysis. The maximum structural aspect ratio of 60 (6.7 microm high and 112 nm thick nanopillars) can be easily prepared using a 60 min self-masked high-aspect-ratio polymer nanopillars fabrication (SMHAR) process on poly(monochloro-p-xylylene) (Parylene C). Compared to Caesar salad, coleslaw mix temperature-abused at 25 degrees C and then stored at 4 degrees C supported slightly greater increases in the population of L. The patient was put on antitubercular therapy and is doing well on follow-up. These experiments open the way for bacterium mediated tumor specific activation of prodrugs in live animals with tumors. Control of the diffracted response of wire arrays with double periods. A few patients may have the onset of their symptoms during an infection.

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Echocardiographic examinations of the valves were performed how to use parlodel tablet before sacrifice. With the numerical calculation of the spectrum of single bubble sonoluminescence, we find that when the maximum temperature inside a dimly luminescing bubble is relatively low, the spectral lines are prominent. Subsequent analysis of single and double knockout mutants revealed a complex interaction of the different FtsZ isoforms not only in plastid division, but also in chloroplast shaping, cell patterning, plant development, and gravity sensing. For Toxocara canis, the prevalence was higher in winter whereas for Trichuris vulpis, it was higher in winter, spring and summer. One display scheme is surface-based rendering, one is volume-based rendering, and the third one is feature-based texture display. To evaluate histological changes in the corneal stroma in pseudophakic bullous keratopathy. Supratentorial hemangioblastoma: clinical features, prognosis, and predictive value of location for von Hippel-Lindau disease. Carbon Bed Fires and the Use of Carbon Canisters for Air Emissions Control on Fixed-Roof Tanks. To establish whether D-dimer is an independent predictor of 1-month serious outcome and all-cause death in syncope patients presenting to the emergency department (ED).

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