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Metformin + pioglitazone is a fixed-dose oral combination medication used to improve glycemic control in adults with type 2 diabetes mellitus. It combines two antihyperglycemic agents with complementary mechanisms of action. Metformin is a biguanide that decreases hepatic glucose production, reduces intestinal absorption of glucose, and improves insulin sensitivity by increasing peripheral glucose uptake and utilization. Pioglitazone is a thiazolidinedione (TZD) that acts as an agonist at peroxisome proliferator-activated receptor gamma (PPARγ), enhancing insulin sensitivity in adipose tissue, muscle, and the liver. The combination targets both insulin resistance and excessive hepatic glucose output to lower blood sugar levels more effectively than either agent alone. This medication does not treat type 1 diabetes or diabetic ketoacidosis[1][3][5].
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