Structure
Acarbose is a pseudotetrasaccharide composed of glucose units linked by alpha-1,4 and alpha-1,6 glycosidic bonds, modified with a valienamine moiety.
Chemical Formula: C₁₈H₃₄N₂O₁₄
Mode of Action
Alpha-Glucosidase Inhibition: Blocks enzymes responsible for breaking down complex carbohydrates into glucose.
Delayed Carbohydrate Absorption: Slows the rise in blood glucose levels postprandially.
Reduced Hyperglycemia: Helps in maintaining overall glycemic control.
Uses
Type 2 Diabetes Mellitus: Manages postprandial blood glucose levels.
Metabolic Syndrome: Assists in improving insulin sensitivity and glycemic control.
Side Effects
Gastrointestinal Disturbances: Flatulence, diarrhea, and abdominal pain due to undigested carbohydrates reaching the colon.