Some women may require small increases or decreases in their dosage of antidiabetic while taking oral contraceptives
, but it is unusual for the control
to be seriously disturbed.
Routine monitoring should be adequate to detect any interaction as the effects seem to be gradual. However, note that occasionally severe disturbances in control
do occur. Irrespective of diabetic control
, hormonal contraceptives
should be used with caution in patients with diabetes
because of the increased risk of arterial disease.