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JANUVIA

    Januvia is prescribed to patients who are suffering from Type-2 diabetes. This is a once-daily prescription pill which is more effective with proper diet and exercise. If the patient who is known to be a history of pancreatitis; exercise should be cautioned before prescribing this medicine. Patients may suffer from allergic reactions; they should consult the doctor before continuing with the medication.

Uses

    Sitagliptin controls blood sugar levels in patients with type 2 diabetes mellitus.

Side Effects

    Breathing difficulties, hives, runny nose, nausea, diarrhea, one or joint pain, feeling sick, vomiting, loss of appetite, sore throat, allergic reaction like swelling of face, pain in stomach, headache

Expert Advice

    Don’t consume sitagliptin if you are allergic to it or any other ingredient present in this medicine. Consult your doctor immediately if you feel stomach pain, nausea, vomiting, or loss of appetite, have serious allergic reactions like skin rash, fever, swelling and difficulty in breathing.

How it works?

    Sitagliptin belongs to dipeptidyl peptidase-4 (DPP-4) inhibitors class of drugs and helps to improve the levels of insulin post meal and decreases the amount of sugar produced by the body. It enhances the amounts of certain natural substances which lower blood sugar when it is high.

Available Brands

    JANUVIA,ISTAVEL,ZITA(GLENMARK)
Answered 9 years ago
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MBBS, DNB (General Medicine)

General Physician•Delhi
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Having an hba1c between 8-9 shows that you are uncontrolled inspite of treatment and indicates that you are open to the complications of diabetes due to this uncontrolled state. Hba1c is an average of blood glucose over a span of 3 months. As hba1c starts to increase from 7.3 % onward the contribution of sugar disequilibrium is mostly contributed by raised fasting glucose rather than post meals blood glucose. If I ask you to check your sugars regularly- you will find your fasting glucose much ra...more
Answered 10 years ago
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MBBS, Diploma in Diabetology

Endocrinologist•Mumbai
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You are diabetic since 8 years and you are only on metformin total 1500 mg per day. It's time to increase medication. I advice you should do hba1c test to look for your last three months average. And increase 500 mg metformin post dinner and add 50 mg sitagliptin (januvia/zita) bbf so that will take care of post prandial high sugars.
Answered 10 years ago
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MBBS, MD - Internal Medicine

General Physician•Delhi
Dear, Yes your sugar levels are not well controlled and you are on a number of medications. But do not worry you still do not need to be insulin as we can still increase the doses of your medications. Glimepiride 1 mg can be increased so can met for min and pioglitazone. However januvia or sisal up tin is at the highest dose possible.
Answered 10 years ago
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MD - Pathology, MBBS

Pathologist•Ahmedabad
It seems that drugs and doses are well set to you.So better do not do any experiment.How ever if you are very keen to have an experiment you may try by reducing doses and/or drug and see the result
623 people found this helpful
Answered 9 years ago
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BHMS, CGO

Homeopath•Pune
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Normal range of blood sugar
1) random- below 200 mg/dl
2) fastingnormal - below 108 mg/dlpre - diabetes - 108 to 125 mg/dl
3) 2 hour postprandialbelow below 140 mg/dl
pre diabetes - 140 to 199 mg/dl
homeopathic medicine is safe and effective, if you willing to contact me just let me through private conversation in lybrate.
Advice - exercise, aviod sugary products, alcohol etc eat - healthy food which contain vitamins and minerals, protein rich etc.
173 people found this helpful
Answered 9 years ago
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AUTLS, CCEDM, MD - Internal Medicine, MB...read more

General Physician•Faridabad
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your medicines are good ..but what is your fasting sugar ..pp sugar levels..hba1c is near to target of 7...
just follow these tips to control diabetes
1-Losing Extra Weight:-helps lowering blood pressure and cholesterol too. For woman: waist of 80 cm or more & for man: waist of 90 cm or more are at risk
2- Constant and regular food timings :-improves metabolic activity and helps in reducing weight.
3- Split your meals and eating in moderate amount:-, improves your metabolic rate ...more
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