Find Use Of Januvia With Insulin

Use Of Januvia With Insulin

Use Of Januvia With Insulin in Answers

I have diabetes (no insulin) & recently my dr told me to take 100mg of Januvia once a day...? I am 25, and i got diabetes a couple years ago after getting sick in Mexico (speculation is that a virus attacked my pancreas). I am not on insulin, but recently was put on 100mg of Januvia once a day. It didn't help so now my dr wants me to take a drug called metformin or something along with the januvia... I'm wondering why i should continue taking the Januvia if it didn't work??? I'm not comfortable with the whole thing. Thanks

N replied: "Many times a combination of medications are needed to keep your glucose level in check. It is normal to be on several diabetes meds at once. Januvia actually comes together with metformin in a pill called Janumet. The actions of the two meds work together to increase the effectiveness."

rusty_rower replied: "yeah sure u could always ask your doctor... oh wait, we are much more qualified."

Ashleigh replied: "It is the old "Left- Right' boxing combination. If one (either) does not work by itself then they may well work in conjunction. Try the new regime for a while and see how you feel. Are you being prescribed, "Janumet"? Remember to ask about the contra-indications associated with "Metformin" (Diarrhea). Seek information about the "XR" variety."

TelsaCoil replied: "What happens is that Januvia basically increases insulins synthesis and release in the body and Metformin helps to decrease the amount of glucose production in the body and help increase insulin sensitivity. So that is why he prescribed it. Now I would definitely see if you can go on Janumet. I just check the price differences and the combination is much cheaper than getting them separately."

MamaSmurf replied: "You should ask your doctor about the even newer drug called Janumet. It's Januvia with metformin in it. It works very, very well and does not have any bad side effects. I was on it as soon as it came out. I was on Januvia before that. (I also take a long lasting insulin at bedtime.) No matter how you do it, Januvia along with the metformin, or the newer Janumet, it's worth it."

Insulin Resistance, PCOS-How to lose weight? I am on Januvia for my Insulin resistance and on birth control for my PCOS. I have been exercising regularly and dieting, but still am not losing any weight. What kind of diet should I be on to lose weight, or does anyone have any suggestions?

Peter M replied: "I haven't found the answer to my problem as yet because I have a lot of complications preventing the #1 thing which is exercise. Congratulations for your efforts and may I suggest you talk to a dietitian? You may have to see more than one before you find one who is actually able to communicate as a lot of the ones I have met have a tendency to be on the "know-it-all" or even arrogant side, but I think it would be worth a shot."

Georgina36 replied: "when you have hormonal inbalances is hard to lose weight. In order for you to lose weight is a little hard it but not impossible. With my patients I had to check hormonal in a lab in order for me to get somethin permanent. I will never do it any diferent because, we can start loosing weight it may cause another symptom in your body. The saiva test ASI"

SugarBabie replied: "Metformin might help with both conditions, plus it can help some people lose weight."

Serena S replied: "this looks pretty interesting"

mansionghost replied: "Try the Little Jack workout.... it works great"

My doctor wants to add januvia 100mg once a day for my type 2diabetes. I generally have fbg ~100 and pp~155.? Any serious side effects with this medication. I am already on oral medication for diabetes since 10 years and my doctor wants me to go for insulin rather than januvia, but prescribed it as an alternative for the time being.

Here Kitty Kitty replied: "Januvia has been studied thoroughly in clinical trials in which the reported side effects from a group of people taking the drug are documented and compared to another group not taking the medicine. In these studies, the most common side effects of Januvia included: •Upper respiratory tract infections (such as the common cold) -- reported in up to 6.3 percent of people •Sore throat and runny or stuffy nose -- reported in up to 5.2 percent of people •Headaches -- reported in up to 5.2 percent of people •Diarrhea -- reported in up to 3 percent of people •Abdominal pain (or stomach pain) -- reported in up to 2.3 percent of people •Nausea -- reported in up to 1.4 percent of people. The percentage of people who experienced low blood sugar while taking Januvia (1.2 percent) was similar to people who were not taking Januvia (0.9 percent). Are you exercising daily. This will bring your numbers down. Walk at least 30 min . a day Kitty"

Can anyone tell me why my sugar goes up higher after my sugar pills and after i take my insulin? I take Januvia and Actos in the mornings @ 6am and i check my fasting sugar then 2 hours after meds no eating or drinking any thing but water my sugars are higher than the fasting? And it happens at night as well i take my insulin at night after dinner and 2 hours later they are higher then before i took my insulin. Im so dang confused.HELP!!

Annie replied: "You need to look to your liver for the answer. The medications your taking are probably lowering your blood sugars to much and in response your liver is releasing excess glucose thus raising your blood sugars. You need to discuss this with your doctor as to the type of medications and dosage, there may be a need for a change. It would also be helpful if you documented all of this over a period of time so your doctor can see it in black and white."

Noccie replied: "That makes no sense at all. You need to document these findings and discuss it with your doctor. If you are not seeing an endocrinologist, you should be - a general practitioner just isn't trained enough in the fine points of diabetes."

Can anyone tel me why my sugar goes up higher after my sugar pills and after i take my insulin? I take Januvia and Actos in the mornings 2 6am and i check my fasting sugar then 2 hours after meds no eating or drinking any thing but water my sugars are higher than the fasting? And it happens at night as well i take my insulin at night after dinner and 2 hours later they are higher then before i took my insulin. Im so dang confused.HELP!!

Raven replied: "It sounds like you could be insulin resistant."

Sarah replied: "you may need to adjust your dosage. You might simply just need to increase it a bit. If you wake up and are not eating breakfast, your body has to its energy from some where so it reverts to other sources like glucagon in the liver or stored sugar in muscle. Talk to you Dr about modifying your diet and insulin regimen."

What other meds can I take for diabetes type 2 besides going on insulin? I have tried Actos & Avandia in the past (retained water like crazy). I have also tried Metformin (my stomach cannot handle even 500mg). I have been taking only Januvia for a month, but it is not helping to control it enough. I eat a fairly good diabetic diet and walk every day. Should I get stricter still with my diet & exercise even more?

Cootie replied: "I am also a diabetic. I had a very hard time with Metformin until I took it when I went to bed. It never hurt my stomach after that."

Some1udontnowhichisprobablygood! replied: "Ok, I live with a Diabetic, and I have learned that a CHIP diet works really well if you follow it. CHIP has helped the guy that I live with a lot...you can look it up online at (I think anyways) CHIP.com or .org...im not sure...CHIP stands for Colinary Heart Improvement Program...check it out!"

Jennifer L replied: "Glyburide along with Metformin is a common combination for non-insulin. But if you can't tolerate the Metformin, I am not sure if glyburide would be enough. You'd need to talk to your doctor. It really depends on what your sugars are running. Diet and exercise are always very important for your diabetes. Again, you do need to see your doctor before starting or stopping medication. Good luck."

CrazyTraci replied: "There are other medicines such as glyburide (DiaBeta, Micronase), glimepiride (Amaryl), or glipizide (Glucotrol) that you can take to help your pancreas increase secretion of insulin. Insulin therapy is another great option but you seem resistant. There are many different types of insulin including one that you only use once a day. What are your blood sugar levels like now? Hang in there! I hope this helps! :)"

Da Bomb replied: "Sometimes you just need to take the Insulin. It is necessary to keep you from having problems with your eyes, kidneys, heart, brain, etc. Sounds as if U are doing all the right things. Don't worry, you will get used to it & will work it into your life just like brushing your teeth! AND - U will feel so much better! Good health to you!"

ditzi_k replied: "my husband is on the metformin for his. he takes it at night before bed. it doesn't irritate his stomach as bad that way. also, he completely cut out everything with aspartame in it. that includes most diet drinks. they're supposed to be better for you as a diabetic, but something in the aspartame breaks down in your system and turns into formaldehyde. basically it poisons your body from the inside out. after he cut out the diet soda he was much better able to control his glucose levels. he also watched that he ate a larger amount of protein at each meal and fewer carbs. that seemed to help quite a bit also. good luck."

Ray E replied: "None just watch your diet"

Truth replied: "Those man made drugs, they'll get you one way or another. Get Chromiun Picolanate, Alpha lapoic Acid,and L-Carnatine from any health store. Thay help stableize Blood / Sugar and improve circulation and fight Neuropothy. A good brand of Omega-3 Fish oil like "Nordic Naturals" will help to reduce inflamation. I sure feel a lot better now, I take these about three times a day. Good luck"

chooesy replied: "Why consider your only option is medication. Consider instead how to get WELL again. All prescription medications are poison and all 'treatments' are meant to be ongoing and profitable."

MamaSmurf replied: "Sometimes insulin is best. It happened to me. Are you really watching your carbs?? I always found that they affect my body a lot, even in very small amounts. I too, went from drug to drug and was on multiple drugs. Have you tried Byetta?? It really works well, It's injectable, but not an insulin. I does cause nausea for awhile, but I always took a Dramamine with the med. That worked really well. Januvia is a good drug, but it may take awhile to bring your readings down, a month is not long enough. Be patient and good luck If you try any of the things in your answers above, please be careful, they can have negative effects with your other drugs and they effect every one differently and basically with some people do absolutely no good."

Paul B replied: "I cannot tolerate metformin - I wish I could. I just started a new drug Byetta from Lilly which you inject but it is not insulin. I take this 10 units twice a day with 3 times a day Glucobay 50"

The Game replied: "these are the things u could do......... .The best treatment for diabetes is insulin.make no mistake bout that .The next steps include OHA's like metformin,glibenclamide,rosiglitazone etc. .The prob with insulin is that there is a chance to develop resistance.i.e u will need to take larger doses to maintain ur sugar levels. .Resistance is more common in long term users and obese individuals. .Resistance can b overcome by using drugs like rosiglitazone. .So maintaining ideal wt is necessary. .further more exercising increases glucose usage in the periphery bringing down sugar levels. .If ur cholesterol levels r high supplementation with a statin generally helps. diet should include large amount of fibres to reduce glucose absorption. .but dont go 4 any of these witout consulting ur doctor."

TexasSweetie replied: "Maybe you can buy cinnamon capsules and biotin over the counter. Biotin once a day, cinnamon three times a day with meals. They will help with sugar metabolism. I am NOT a physician, but I have diabetes and I take these and they have been very effective for me. Cheaper too. Not only my blood sugar, my cholesterol, lipids, tryglycerides are better, but so are my nails, skin, hair."

Kathie Emmanuelite replied: "I am a type 2 diabetic on insulin. I feel insulin gave me my life back. I was on actos, metformin, and glipizide, walking and restricting my diet. In order to keep my blood sugar down the strict diet and exercise were taking over my life. The diabetes controlled me instead of the other way around. It's not like I eat whatever I want now, but I have alot more choices and some flexibility. If my blood sugar on that rare occasion does run too high and I'm at work or it's late at night, I can just a unit of insulin to bring it back down. I remember having to get on my stair stepper at 10 o'clock at night just to bring down my sugars. Not only that, insulin is alot cheaper than the oral meds."

dyp replied: "eat blueberries or anything that contains antioxidants and less sugar"

sue replied: "Doctor should have started you out on half the tablet to start with. He should also have told you to take it WITH food, never on empty stomach. It will always cause digestive upsets this way. He should also have suggested you take Pepto or Tums type meds with it if it gave you digestive upsets. Actos and Avandia both have a notorious history of causing edema! I tried both and cannot take them. There are 8 classes of meds of which you have only tried 3 other than insulin. And if you are insulin resistant it does no good to push more insulin into the system if it isn't working to help the muscles use the glucose available. the 2 first meds are usually Metformin and Glyburide. But be aware that just because Met in the formulation you were taking upset your stomach, not all the generic manufacturers of this drug use the same "inert ingredients" for fillers. It might have been the filler you can't take. I cannot take a couple of the generic Met formulations. But I can take the Metformin XR! Yes, it does occasionally mess with my stomach, giving me gas and acidic stomach and sometimes diarrhea as well. You say you are following a good diabetic diet. That doesn't say much because the Am Diab Assn recommends just smaller servings of the same Food Pyramid that caused this problem. High Complex Carbs in great number!!! Do away with all the bottom layer of the current Food Pyramid for a month and see if it doesn't help a great deal. I also have a problem with any soft sweet fruits. I eat crispy tart apples for most of my fruits."

SugarBabie replied: "Get some yogurt that has live culture in it. Look for one that is sweetened with Splenda, not sugar. Where I live, we use Danone Silhoutte. Take half a Metformin tablet with a serving of this yogurt before your breakfast. I have read about this on several diabetes lists and it works for nearly everyone that tries it. Do the same thing again at suppertime for your next dose of Metformin. Again, take only half the dose. It takes time for your stomach to get used to it and you may to start with a lower dose than most. If that doesn't do it, then ask your doctor to let you try the time released version of Metformin. If neither works, then its time to start using insulin. Insulin doesn't cause all the side effects the oral treatments do, plus it WILL control your blood sugar once you get on the right dose of the right insulin for you. I'd recommend that you ask about Lantus or Levemir insulin. Both cause less lows than other types. I went directly on insulin after having a rare reaction to Metformin, and my husband is successfully using Metformin with yogurt."

dingding replied: "You'd have to talk with your doc or diabetes educator as to whether further dietary restrictions and more exercise would help. Let me tell you this, though: Many doctors give their Type 2 patients the impression that going on insulin is a "bad thing" or a "last resort". The human body needs insulin, it's quite natural, and if what you really need is insulin supplementation, then so be it. We need what we need. Yes, you will need to learn to deal with the needles, but they are tiny and you barely ever even feel them. And with more and more Type 2's going on insulin pumps, the picture is getting even better. So keep an open mind...going on insulin might be the best thing that ever happened to you. It's best to let your body do the regulating for you, but if you don't make enough insulin to do that, then taking insulin gives you freedom!"

Are there any new medicines on the market besides Byetta and Januvia.? I am on glucotrol, metformin, januvia and have tried Byetta. Nothing seems to work for me. I don't want to go on Insulin. Any suggestions. I have also done Lapband surgery. I am at my wits end.

Daniel-Kenneth U replied: "Listen to me. I am diabetic and have been on insulin for about three years. I have tried the drugs and lost my bowels while out in public. Drugs are not the answer. Diet is. You must stop all sugar.Check out. Click on FAQ and follow the free diet plan."

ItsJustMe replied: "If nothing seems to work for you, then why not go on insulin? What are you afraid of? A little needle stick? Of course, I felt the same way until my then 2 year old grandson was diagnosed with type 1 diabetes and went on 4 shots of insulin a day. All of a sudden I realized that grown ups aren't allowed to complain about some things - being on insulin being one of them. Insulin really works for many people - as type 2s we can use diet, exercise, drugs and/or insulin. Up to you."

questions about Januvia? Has anyone ever taken Januvia the doc put me on it because i have high insulin levels and i have trouble loosing weight. If you have taken it did you ahve any side effects and did you loose weight.

Confused_Rep replied: "In their clinical trials, Januvia did not cause weight loss, but did not cause weight gain either. This means that if you are obese, you will maintain your obesity with Januvia. Ask your doctor in stead about Byetta. Proven glycemic control and weight loss for the compliant patient."

Januvia 100 mg. for Diabetes... can they increase dose? Is it common for the dosage to be increased to TWO 100 mg tablets daily? Of course I won't do it until I ask the doctor, but I need to know if anyone takes a higher dose than one 100 mg. tab daily? I can't/won't take Metformin, etc. (weight gain), and do NOT want to start insulin. I'm hoping to get off all the medicine when I lose the weight - still about a year away. Meantime, am exploring options. Januvia works, but now it seems I need more. I do fairly well with food choices and exercise, but not fast enough. Anybody out there take more than 100 mg. daily of Januvia? THANKS! .

ItsJustMe replied: "Metformin is supposed to help with weight loss, not add the pounds on. Of course it does have other side effects, but it is effective in managing glucose and is really cheap (unlike Januvia which costs way too much). When I was taking it I found that the extended release tablets were much better. Now I'm paying a fortune for Januvia - 100mg daily. Don't know if it is approved for more."

If my pancreas is only "stressed" and not necessarily damaged by autoimmunity, can it be healed? I was diagnosed with Type 2 diabetes in 2003. Over the years, I was unable to control it with orals. This year, I was told that my pancreas is producing little to no insulin at all, a symptom of Type 1, but not due to autoimmunity. The doctor said that too much stress on the pancreas to produce the insulin my body needed to combat high glucose levels "shut my pancreas down". I asked if my pancreas would ever function normally again, since it is not the case that the cells were actually damaged. She said no and that I would more than likely need to take orals AND insulin for the rest of my life. What type of damage actually occurs to the pancreas in this case? My A1C is 13.5. Metformin and Januvia are causing me gastrointestinal discomfort and the insulin seems to me making me gain bulk in the upper part of my body. I went to an herbalist yesterday and he said the insulin throws the body off course. He also said that once the pancreas is fed the nutrients that it needs, it will begin to produce insulin again. Has anyone heard the same?

jenius replied: "No I have never heard the same. You will put on weight if you take so much insulin that you run into lows and have to take in extra carbohydrates to counter act the lows. My A1C was over 13 until I started using an insulin pump. You might want to see an endocrinologist if you're not already. I'd trust them before I'd trust an herbalist."

Solu replied: "Never heard that before. The herbalist must share his information with a doctor of endocrinology. If he doesn't want to then he is probably incorrect. What nutrients does the pancreas need? Please share. The pancreas fails because of the islands of Langerhans. No one knows to much more than that."

More Resources

Diabetes - is it safe to use januvia and insulin to treat ...
I care a woman with diabetes type 1 and her doctor prescribed her januvia to controll her high levels of glycaemia.Is it safe and/or correct?

Merck Receives Positive CHMP Opinion for JANUVIA(R ...
... recommending their use as add-on to insulin for the treatment of type 2 ... The use of JANUVIA and JANUMET in combination with insulin is investigational in ...

StreetInsider.com - Merck Receives Positive CHMP Opinion for ...
... recommending their use as add-on to insulin for the treatment of type 2 ... The use of JANUVIA and JANUMET in combination with insulin is investigational in ...

I read that Januvia a
... also prefer that drugs such as Januvia remain unproven for use with Insulin. ... Doctors to prescribe the use of Januvia and Insulin to address different aspects ...

Pharmacy Choice - Pharmaceutical News - In Investigational ...
If approved for use with insulin, JANUVIA and JANUMET will be additional options ... Study of addition of JANUVIA to ongoing insulin therapy with or without metformin ...

Proposed Prescribing Information CBE 05mar09
USE IN SPECIFIC POPULATIONS -? Safety and effectiveness of JANUVIA in children under 18 years ... JANUVIA has not been studied in combination with insulin. 2 ...

Januvia Uses
This eMedTV page discusses how Januvia can lower blood sugar in ... in which the cells of the body do not respond to insulin as well as they normally should. ...

Merck Receives Positive CHMP Opinion for JANUVIA ...
... recommending their use as add-on to insulin for the treatment of type 2 ... The use of JANUVIA and JANUMET in combination with insulin is investigational in ...

MRK In Investigational Studies, New Uses of JANUVIA(TM ...
... News for MRK - In Investigational Studies, New Uses of JANUVIA(TM) (sitagliptin) in Combination with Other Diabetes ... for use with insulin, JANUVIA and ...

News: Merck Receives Positive CHMP Opinion for JANUVIA ...
The use of JANUVIA and JANUMET in combination with insulin is investigational in ... use with other glucose-lowering agents (such as sulfonylureas and insulin) ...

Find More

use of januvia with insulin, tiger balm migraine, nick jonas before diabetes, lamisil success rate, low profile breast augmentation photos, original viagra verpackung, neck arthritis pain relief, psa and viagra, plavix after cabg, ma arthritis foundation