Pioneer 30mg Tablet can be used alone or in combination with other medications It can be taken with or without food It is important to take it at the same time every day to maximize its effectiveness Your doctor will determine the appropriate dosage for you which may vary over time depending on how well it is working Even if you feel well or your blood sugar levels are under control it is important to continue taking this medication Stopping it without consulting your doctor could cause your blood sugar levels to rise putting you at risk for kidney damage blindness nerve problems and limb loss Remember that this medication is just one part of a comprehensive treatment program which should also include a healthy diet regular exercise and weight reduction as advised by your doctor Your lifestyle plays a crucial role in managing diabetes The most common side effects of this medication include weight gain blurred vision and numbness If these side effects bother you or persist it is recommended to consult your doctor Do not take this medication if you have type 1 diabetes mellitus diabetic ketoacidosis high levels of acid in the blood or severe kidney or liver disease Inform your doctor before taking this medication if you have a history of heart disease thyroid disease or certain hormonal conditions It may not be suitable for you Pregnant or breastfeeding women should also consult their doctor before taking it Regular monitoring of your blood sugar levels is necessary and your doctor may also order blood tests to monitor your blood cell counts and liver function