I don't like the way Januvia functions. If I remember correctly it makes your body secrete more insulin while lowering insulin resistance, then to add more insulin to the mix (Lantus) makes no sense at all. Please remember that 50% of all doctors graduated in the bottom half of their class. Your endo may be one of them.
If this were me I'd use the Lantus and stay away from the januvia. Lantus is made from human cloned insulin, it's like the perfect helper and very compatible with your body. Using the 'nothing white but cauliflower and cottage cheese' food plan I was able to get off my insulin for the time being, but I am not adverse to going back on for the good numbers if necessary. I also like the fact that I never got low episodes while on the Lantus unless I totally forgot to eat. And then they were normal, spaced out, hungry headache lows, not the shaky, crazy starving ones I used to get on Actos.
I believe that your new doc is right on track from what I've read about Januvia. Your endo probably didn't bother to find out how fastidious you were with your food plan and just gave you what all "dumb diabetics who won't do nuthin' " get. It's a strong med for peeps who won't follow their proper food plan or who are following the ADA guidelines for too many carbs. Just my 2¢.
~ Jeannie, Forum Moderator/Diabetes & Fibromyalgia
I know God will not give me anything I can't handle. I just wish that He didn't trust me so much. ~Mother Teresa
"People are like stained glass windows: They sparkle and shine when the sun's out, but when the darkness sets in, their true beauty is revealed only if there is light within."- Elizabeth Kubler-Ross