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How ACTOS works
View an animation that shows how ACTOS works.

Turning food into energy
- When you eat, food is broken down into different products that can be used by your body.
- One of those products is glucose, or sugar, the main source of energy for the body.
- In order to process glucose into energy, the pancreas produces insulin—a hormone that allows cells to absorb glucose (sugar).
- Insulin is produced by the pancreas and is needed to let sugar into the body’s cells so it can be processed into energy.
Insulin resistance in type 2 diabetes
- For people with type 2 diabetes, the body cannot produce enough insulin to properly use the sugar in their blood. In addition, their cells lose their sensitivity to insulin—a condition known as insulin resistance.
- Because some cells, such as muscle cells, are not sensitive to insulin, they cannot absorb blood sugar for the energy they need to function.
- The body responds to this situation by signaling the pancreas to produce more insulin, causing insulin levels in the blood to become too high. This condition is known as hyperinsulinemia. Unfortunately, even this extra insulin does not allow insulin-resistant cells to absorb blood sugar.
- Eventually, the pancreas can no longer produce enough insulin to compensate for insulin resistance. The cells in the liver also become insulin resistant and respond by making too much blood sugar.
- Because blood sugar is not absorbed by the cells, it stays in the blood, causing blood sugar levels to rise—a condition known as hyperglycemia.
- Over time, high levels of sugar in the blood can result in damage to parts of the body, such as the kidneys, eyes, nerves, and heart.
Reducing insulin resistance with ACTOS
- Along with healthy eating and physical activity, ACTOS works by reducing insulin resistance, which helps reduce the harmful buildup of sugar in the blood.
- ACTOS increases the sensitivity of cells to insulin. When the cells in the body are more sensitive to insulin:
- They can absorb blood sugar for the energy they need to function properly.
- The amount of sugar in the blood goes down, because the sugar is absorbed by the cells rather than remaining in the blood.
Next: Meet the ACTOS characters!
To learn more about ACTOS, please see the ACTOS Complete Prescribing Information.
Management of type 2 diabetes should also include nutritional counseling, weight reduction as needed, and exercise.
While ACTOS may provide some lipid benefits, ACTOS is not intended as a substitute for cholesterol medications.
The effect of these lipid changes on morbidity and mortality have not been determined.
Please see Important Safety Information, including warning about heart failure, below.
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Important Safety Information About ACTOS® (pioglitazone HCl)
The prescription medication ACTOS is used along with diet and exercise to lower blood sugar (glucose) in adults with type 2 diabetes. ACTOS is taken once daily either alone or in combination with insulin, sulfonylureas, or metformin.
ACTOS is not for everyone. Certain patients with heart failure should not start taking ACTOS. ACTOS can cause or worsen congestive heart failure. Talk to your doctor immediately if you experience rapid weight gain, fluid retention, or shortness of breath.
Do not take ACTOS if you have active liver disease. Your doctor should perform a blood test to check for liver problems before you start ACTOS and periodically thereafter. Talk to your doctor immediately if you experience nausea, vomiting, stomach pain, tiredness, loss of appetite, dark urine, or yellowing of the skin. If you are of childbearing age, talk to your doctor before taking ACTOS, as it could increase your chance of becoming pregnant. Some people taking ACTOS may experience flu-like symptoms, mild-to-moderate swelling of legs and ankles, and anemia. Some people, particularly women, are at higher risk of having bone fractures while taking ACTOS. When taking ACTOS with insulin or sulfonylureas, you may be at risk for low blood sugar. Patients with diabetes should have regular eye exams. If you experience vision problems, consult your doctor immediately. Very rarely, some patients have experienced visual changes while taking ACTOS.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.FDA.gov/medwatch, or call 1-800-FDA-1088.
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Copyright©1999, 2007 Takeda Pharmaceuticals North America, Inc. This site is intended for use by U.S. residents only.
ACTOS®, ACTOplus met®, and duetact® are registered trademarks of Takeda Pharmaceutical Company Limited and are used under license by Takeda Pharmaceuticals North America, Inc.
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