Pharmacological effects Postprandial glucose levels is reduced both in normal and diabetic subjects, so creating an insulin sparing effect . The efficacy of the drugs is small . Hypoglycemia does not occur even in overdosage .
Pharmacokinetics Oral bioavailability: acarbose 2%; miglitol >90 % Elimination : miglitol > 90% by the kidney
Contra-indications and cautions Inflammatory bowel disease Gastrointestinal conditions worsened by gas or distension Renal disease
Therapeutic uses Type II diabetes as monotherapy or in combination with sulfonylureas or insulin. As monotherapy in elderly patients or in patients with predominantly postprandial hyperglycemia. Note : if hypoglycemia occurs when administered with insulin or sulfonylureas, oral administration of sugars other than glucose is ineffective .