Zipio 30mg Tablet can be used alone or in conjunction with other medications It can be taken with or without food It is important to take it regularly at the same time each day to maximize the benefits The appropriate dosage will be determined by your doctor and may be adjusted as needed Even if you feel well or your blood sugar levels are under control it is crucial to continue taking this medication Stopping it without consulting your doctor could lead to an increase in blood sugar levels which could put you at risk for kidney damage blindness nerve problems and limb loss Remember that Zipio is just one component of a comprehensive treatment plan that should also include a healthy diet regular exercise and weight reduction as advised by your doctor Your lifestyle choices are important in managing diabetes The most common side effects of Zipio include weight gain blurred vision and numbness If these side effects bother you or persist for an extended period of time it is advisable to consult your doctor You should not take Zipio if you have type 1 diabetes mellitus diabetic ketoacidosis high levels of acid in your blood or severe kidney or liver disease Before taking this medication inform your doctor if you have a history of heart disease thyroid disease or certain hormonal conditions as it may not be suitable for you Pregnant or breastfeeding women should consult their doctor before taking Zipio Regular monitoring of blood sugar levels is necessary and your doctor may recommend blood tests to check your blood cell counts and liver function