Some women may require small increases or decreases in their dosage of antidiabetic while taking oral contraceptives, but it is unusual for the control of diabetes 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.
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