Actoplus Met (Metformin and Pioglitazone)

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"Generic Actoplus Met"
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"Actoplus Met"
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PUBERTY AND GROWTH OF CHILDREN WITH DIABETES: GIRLS
As a rule, girls develop sexually at an earlier age than boys. Their breasts start to swell and the nipples and surrounding ring of tissue develop an adult shape. Hair grows over the pubic area and under the arms and menstrual periods start. For many diabetic women, period times are no different from any other part of the month, but for about a third, the build up to a period means a change in blood glucose control. Some women find that their insulin dose increases greatly before periods and suddenly falls after the bleeding starts. A few find that their control is unchanged until they start to bleed. Then they suddenly start going hypoglycemic and need much less insulin for one or two days. Few girls have completely regular periods to start with and if you tend to have a rise in blood glucose around period time, you may find your glucose going up and down as your periods come and go. The only thing you have to do is make sure that you are on a flexible insulin pattern, for example, a very long-acting insulin with as many short-acting injections as you need, or twice daily short-acting and medium-acting insulins, and adjust things day-by-day. You may find that your moods go up and down too. It is not uncommon to feel grumpy or depressed before a period, and some women have fluid retention as well.
It is important to remember that you are capable of having babies as soon as your first period starts. The myth that all diabetic women are sterile is completely untrue, as several surprised diabetic mothers have found!
*51/102/5*

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