• 
• 
• 
• 
• 
• 
• 
• 
• 
• 
• 
• 
• 
• 
• 

To take care of your diabetes, it's important to keep your blood sugar level at a healthy balance. Keeping track of your blood sugar level yourself is a good thing to do.

You should:

• Test your blood sugar regularly
• Know your A1C

Balanced blood sugar means that your blood sugar level is neither too high nor too low. It stays within a healthy range.

Test your blood sugar regularly
It is important to test your blood sugar regularly. You can do this at home. Write down your results each time. Some people need to test once a day; others need to test several times a day. Your doctor will tell you how many times a day you should test your blood sugar and which method is right for you.

JANUVIA helps your body lower blood sugar when it is too high.
Taking JANUVIA can help your body do 2 things:

• Increase insulin when blood sugar is high, especially after you eat. This is when the body needs the most help in lowering blood sugar.
• Reduce the amount of sugar made by your liver after you eat, when your body doesn't need it.

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