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ceebee
Regular Member


Date Joined Dec 2006
Total Posts : 401
   Posted 1/1/2008 10:18 PM (GMT -7)   
What does this drug do? When is it taken? Does anyone feel it is a real help? Thanks

gelchick
Regular Member


Date Joined Aug 2006
Total Posts : 477
   Posted 1/2/2008 10:18 AM (GMT -7)   
ceebee
 
I have taken Januvia since the end of march. It is a good drug for me. It helps me maintain a stable blood sugar level after meals and in the morning. I have Dawn Phenomenon. Several others take it as well- we had a thread going about it awhile back- you should be able to find it if you search on the word januvia ( menu bar at the top of the page).
 
My A1c is steady at 5.0 (since march,07). I continue to slowly lose weight (it is weight neutral). I take it once a day- it does not require you to take it with food. Listed side effects include respiratory issues and an allergic skin reaction sometimes seen with certain antibiotics- but I haven't had these.
 
It can take up to 3 months to see the full effect of the drug. I saw changes after about 2 weeks. I was stopping glipizide at the same time, so I think it took about that long for the glipizide to be fully eliminated from my system.
sandy
I just want to live happily ever after-every now and then. Jimmy Buffett


ceebee
Regular Member


Date Joined Dec 2006
Total Posts : 401
   Posted 1/3/2008 6:46 AM (GMT -7)   
I also have severe asthma...so is this drug not a good choice for me? What about Avandia? Thanks:)

gelchick
Regular Member


Date Joined Aug 2006
Total Posts : 477
   Posted 1/3/2008 8:47 AM (GMT -7)   

ceebee

I think your doctor is the one who will be best able to determine the risk/benefit for any drug for you. Actos and Avandia are associated with edema. I had difficulty breathing and a constant runny nose when I was on Actos, but nothing with Januvia. You can probably find the product insert online and check it for asthma warnings so you can be prepared when you talk to your doctor. Sorry I couldn't help you more.

sandy


I just want to live happily ever after-every now and then. Jimmy Buffett


ceebee
Regular Member


Date Joined Dec 2006
Total Posts : 401
   Posted 1/3/2008 10:06 PM (GMT -7)   
I just got Januvia today.We are going on vacation for a week soon.. Should I wait and start it when I get home? The doctor didn't stop any of the other meds. I don't need low bs on a plane. I can try byetta if I want but decided to try this as my bs are not high unless I eat any carbs. Thanks for sharing how Januvia works for you gelchick. One of the main reasons I decided to try it first. Cant' hurt and might be right for me. Thanks:)

gelchick
Regular Member


Date Joined Aug 2006
Total Posts : 477
   Posted 1/4/2008 9:41 AM (GMT -7)   
ceebee
 
Januvia won't cause you to go low. It helps the insulin that you make naturally to stick around longer after you eat a meal with carbs. I think it also helps to keep your liver from overproducing glucose. That's how it stabilizes your post meal spikes and moderates the Dawn Phenomenon. That's why it only works for people who still make a good amount of insulin. If you're not eating and digesting- it just hangs around waiting until you do.
 
The sulfonylureas (glipizide and such) force the pancreas to churn out insulin and there is no good way to regulate the amount- so you can go very low in a hurry. Even the smallest dose of glipizide cut in half would send me down to the 50's unexpectedly.
 
If post meal spikes are your problem and you still make insulin- Januvia should work very well for you. I started it the day before we went to Providence for a week for my daughter's graduation and had no problems. It takes awhile to kick in- but we're all different.
 
You might feel more comfortable watiting until you get home in case anyting quirky happens, so you can talk to your actual doctor- not somebody in an acute care clinic on your HCPs list eyes
 
good luck with it, and please keep me posted on how you're doing with it.
sandy
I just want to live happily ever after-every now and then. Jimmy Buffett


ceebee
Regular Member


Date Joined Dec 2006
Total Posts : 401
   Posted 1/4/2008 11:00 AM (GMT -7)   
Thanks gelchick:) I take 1000 Metformin twice a day and Lantus solostar 28 units at bedtime. I don't know if I produce insulin anymore or not. I just can't eat any carbs except some in vegetables and nuts and not much of those either. I am losing about 3-4 pounds a week from skipping meals to stay in the 90's for bs. I don't mind not eating but sure miss an apple now and then:) Does it sound like Januvia will help?

gelchick
Regular Member


Date Joined Aug 2006
Total Posts : 477
   Posted 1/4/2008 4:32 PM (GMT -7)   
ceebee
 
First I'm going to nono because you are skipping meals- it's better to eat 5-6 tiny meals than to skip. I have found that when I eat every 4 hours, my blood sugar stays lower and more constant than if I eat more at longer intervals. If I eat too little, it drives my sugar up too- my brain thinks it's starving and causes my liver to start up ye olde sugar factory and my sugar rises. I don't know how healthy a 3-4 pound/week weight loss is either. I'd be concerned that muscle loss might occur esp if you're not doing anaerobic exercise along with the usual cardio. Okay- off my soap box and on to your question.
 
If Januvia works for you- my guess is that you'll be able to enjoy your apples again. I eat 2-3 fruits every day. Berries (raspberries, strawberries or blackberries) and an apple (in season- 4 oz or less),peach (in season) or 1/2 grapefruit with breakfast ( low carb yogurt 5-6 carbs/cup Greek style only) and another fruit ( the other half of the grapefruit, or more berries) with a glass of Hood low carb chocolate milk ( sometimes a chocolate berry smoothie-yum!). I rarely even see 100, even 2 hours after I eat.  Before Januvia, I would shoot up maybe 30-40 points at the 2 hour mark and then come down to pre-meal numbers by 3 hours. Now, it's substantially less (10-18 points).
 
I've actually tested the januvia by eating carbs- I confess- I actually ate a very big bowl of captain crunch with crunch berrries in skim milk ( my all time favorite garbage food) and I only rose 32 points- we're talking close to 100 fast-acting carbs with no protein (except for the milk) to speak of. Let me just say that after a year of not eating more than 80 net carbs in a whole day - most of them slow acting- I almost died. I felt nauseated, the sugar assaulted my mouth, my stomach ached for hours - even though I seem to be able to eat that kind of stuff- it's clearly not in my best interest- and I won't be repeating that experience! EVER
 
sandy
I just want to live happily ever after-every now and then. Jimmy Buffett


ceebee
Regular Member


Date Joined Dec 2006
Total Posts : 401
   Posted 1/4/2008 9:38 PM (GMT -7)   
OMG...you get fruit and chocolate milk?? I get maybe a hot dog grilled or I egg for breakfast and no lunch and maybe some nuts and cheese for dinner. I tried a half Asian pear and 2 hours later I was at 146. I try to eat nothing with any carbs if I can. I have lost 60 pounds and don't get hungry much anymore. When i do need to eat and cheat just a little the bs spikes and I don't feel good. I don't know how to eat with the diabetes yet but I am reading Dr. Bernsteins' book now. I am afraid to eat. I really miss yogurt...where do you get Greek style yogurt and the Hood's mild? How many carbs? I used to live on carbs before being diagnosed. Now, I find I miss the fruit and togurt most. Thanks for all the help:)

gelchick
Regular Member


Date Joined Aug 2006
Total Posts : 477
   Posted 1/5/2008 12:35 PM (GMT -7)   
Ceebee
 
It really sounds like you are undereating to me- I did that a lot at the beginning and my sugar was always running on the high side. I always eat protein with my carbs in teh ratio of 7 grams of protein/ 15 grams of carb. I eat more protein and I don't monitor fats because I don't eat processed foods or trans fats.  
 
There is a book called the Insulin-Resistance Diet that explains this eating approach- I team it with lower carb eating - and it works great for me.
 
I get Hood Calorie Countdown at Walmart - I've seen it at Kroger and Wegmans, various markets in New England. It comes in chocolate, 2%, and fat free - they're all low carb. I cook with it to make mac and cheese- it works just like regular milk.
 
Greek Yogurt is high protein low carb- 22 grams of protein/5-6 grams of carb per cup- between 90-110 calories for the fat-free. It comes in fat free, 2%, and full fat. I buy the plain, unsweetened version and add flavored Stevia or daVinci syrups to make different flavors. Trader Joe has it's own brand, Whole Foods carries F A G E, and skyr.is Stoneyfiled Farms makes it uner the brand name OIKOS - I can get that at Gient Eagle, Whole Foods, Kroger. This type of yogurrt is like a creamy sour cream- I use it as a substitute sometimes, but I still use real sour cream.
 
I think you'll be able to eat more if Januvia works for you.
sandy
I just want to live happily ever after-every now and then. Jimmy Buffett


ceebee
Regular Member


Date Joined Dec 2006
Total Posts : 401
   Posted 1/7/2008 11:51 PM (GMT -7)   
I keep my blood sugar at between 80 and 123 with low carb eating...do I really need Januvia now? I am on prednisone and that makes bs higher but aren't I in near normal range now?

LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5402
   Posted 1/8/2008 6:15 AM (GMT -7)   
Hi ceebee, those blood sugar readings look good especially considering you're on prednisone right now.  Please consult with your doctor about taking the medication.  I know that several members here might be on the same meds that you are and can give you their experience and opinions but we're not doctors.  Being on these meds may mean that you can have a more varied diet than the strict low-carb way of eating, but please consult with your endo or other doctor.  I hope it's all working out well for you.

Lanie
forum moderator - diabetes
diabetes controlled so far by diet and exercise
following low/no carb diet, no meds

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