Hi there I am a newbie at this but here goes. I am originally from the uk but moved to Spain in 1997 with my husband. I was diagnosed diabetic a year after we arrived which was a shock. I have been on avandamet which has now been taken off the market then Actos which caused me to put on lots of weight. I have now been on Janumet for a week and never had so many side effects before. I am nauseous I have very low blood counts eg 41 in Spanish terms and other side effects. I am hoping the side effects will wear off after a while, If not it will be back to the doctor again. If anyone has any advice I would be grateful. Thanks.