Taking Januvia

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Taking Januvia


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Old 05-06-2017, 21:01   #1
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Question Taking Januvia

My last a1C was 7.8, so my doc added Januvia to the metformin I'm taking a few weeks ago. This has really made me focus on staying on track and I've been good at sticking to my low-carb diet (15-20g/meal). Today I woke up after 11hrs of catch-up sleep with GC 145. I ate an egg salad sandwich with only 12g carb. An hour later BG was still 145. I felt good like I was doing things right... but an hour after that I had 164 with feelings of hypoglycemia. I ate another 15g as PB & crackers and waited an hour. Now 154.

It almost seems like I needed to eat more carbs at lunch or something. Has anybody has Januvia experience?

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Old 05-07-2017, 00:26   #2
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Januvia forces your pancreas to secrete insulin (whether or not at that specific time you actually need it) - so you need to monitor your BG carefully in order not to go too low. However, 145 isn't really low so you could probably have just waited it out.

And, you are probably right in thinking that you'll need to eat enough carbs to accommodate the insulin the Januvia is causing. I should think it will take some time to sort out the timing of the Januvia and the rise and fall of your BG.

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Old 05-07-2017, 05:16   #3
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Default If I wait...

If I waited out the rising BG with hypo symptoms, wouldn't it keep climbing? It would eventually drop but meanwhile I'd have hours of high BG. The things I used to know about patterns don't seem to apply with Januvia. I'm trying to understand what behavioral/diet changes I need to make (besides staying on low carb) to work with it.

Thanks for the reply, I'll see how it goes.

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Old 05-07-2017, 13:34   #4
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Quote:
Today I woke up after 11hrs of catch-up sleep with GC 145. I ate an egg salad sandwich with only 12g carb. An hour later BG was still 145. I felt good like I was doing things right... but an hour after that I had 164 with feelings of hypoglycemia. I ate another 15g as PB & crackers and waited an hour. Now 154.
I'm not sure treating high BG (even with hypo symptoms) with more carbohydrates will give you the results you want.

The morning rise in BG (Dawn Phenomenon) is caused by the liver dumping glucose as part of the wake up process. Often times eating does stop the rise. However, after breakfast, when the liver is no longer doing this, the rise in BG is most often direct result of the carbs eaten. You are taking Januvia which should stimulate an insulin release. If you can't gain better control through reducing carbs while on Januvia, then you might want to ask for a test to find out what your own insulin production level is.

A word of caution though. While you are on Januvia, and if you reduce carbs more, you really do need to be checking your BG. (A true low is below 60.)

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A1C in the 5% range.
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Old 05-07-2017, 15:32   #5
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Unfortunately, doctors many times treat increasing blood sugars with new medications or increases in medications you already are taking. Sometimes the new meds have many side effects. I once asked my doctor about this and he said the risk of getting these side effects is offset by the long-term effects high sugar can cause. ?? That completely ignores other low risk option like changing what you eat.....

Before I knew about LCHF life style, my doctor prescribed Januvia for me. I took it for a little over a year. During that year I had 5-6 severe upper respiratory infections, all of which required some heavy antibiotics to get over. Historically, I have never been one to have that problem. Eventually, after doing internet research on Januvia, I found one of the possible side effects was upper respiratory infections! I stopped taking it that day. During that year I saw no improvement in by Blood Sugar levels! That was over 7 years ago and I have only had one respiratory infection once in the last seven years....

So beware of Greeks bearing gifts.....

I have had good control of my blood sugar since April of 2015 since I started eating LCHF and following the protocol with that....

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