Used primarily in the management of type 2 diabetes mellitus, it helps improve insulin sensitivity in peripheral tissues such as muscle and adipose tissue, allowing better glucose uptake and utilization. It is often prescribed in combination with other antidiabetic agents like metformin or insulin when blood sugar control is not achieved with monotherapy. The compound also contributes to reducing hepatic glucose output indirectly by enhancing insulin response. Due to its mechanism of action, it may be used in patients with insulin resistance, including those with polycystic ovary syndrome (PCOS), although this is an off-label use. Long-term use requires monitoring of cardiac function and liver enzymes due to potential adverse effects.