Blood Sugar Management
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MANAGING YOUR TYPE 2 DIABETES

It’s important to keep your blood sugar controlled, because when too much sugar stays in your blood for a long time, it can damage blood vessels and nerves.

Much of the food we eat is turned into sugar in the blood for our bodies to use for energy. A hormone produced by the pancreas called insulin helps sugar in our blood get into the cells of our bodies. If your body doesn’t make enough insulin or if the insulin doesn’t work the way it should, blood sugar can’t get into your cells and instead stays in your blood, raising your blood sugar level.

Management of your type 2 diabetes includes:

  • Using your medicines exactly as your doctor prescribes
  • Making smart food choices
  • Being physically active

All 3 of these steps contribute to blood sugar management and therefore the management of your type 2 diabetes. Managing your type 2 diabetes is a goal whose importance is hard to exaggerate.

If you have type 2 diabetes , JANUVIA can help lower your blood sugar. Ask your doctor whether JANUVIA is right for you.

JANUVIA (jah-NEW-vee-ah) is a once-daily prescription pill that, along with diet and exercise, helps lower blood sugar levels in adults with type 2 diabetes.

Important Information About JANUVIA

JANUVIA has not been studied with insulin and should not be used to treat patients with type 1 diabetes or diabetic ketoacidosis (increased ketones in the blood or urine) or used if you are allergic to JANUVIA. Your doctor may perform blood tests from time to time to measure how well your kidneys are working. If you have kidney problems, your doctor may prescribe lower doses of JANUVIA.

When JANUVIA is used with a sulfonylurea, low blood sugar (hypoglycemia) can occur. To avoid this risk, your doctor may prescribe lower doses of the sulfonylurea.

Allergic reactions, which may be serious, including rash, hives, and swelling of the face, lips, tongue, and throat that may cause difficulty breathing or swallowing, can occur. If you have an allergic reaction, stop taking JANUVIA and call your doctor right away. The most common side effects include upper respiratory tract infection, stuffy or runny nose and sore throat, and headache.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

JANUVIA is a registered trademark and Steps to Balance is a trademark of Merck & Co., Inc.
This site is intended only for residents of the United States, its territories, and Puerto Rico.
Copyright © 2008 Merck & Co., Inc. All rights reserved.
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