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What testing should be done before prescribing insulin-sensitizing medications?

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What testing should be done before prescribing insulin-sensitizing medications?

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A comprehensive biochemical panel that includes liver enzymes and alanine transaminase (ALT) should be performed before metformin or one of the thiazolidinediones (Avandia, Actos) are taken. If there are liver or kidney abnormalities, caution should be used and the benefits weighed before choosing to use these medications.

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