Type 2 Diabetes Support
Updated Safety Information
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SUPPORT FOR TYPE 2 DIABETES

Take this opportunity to receive free resources and tools now and in the future!

Steps to Balance is a free program from Merck & Co., Inc., that brings you practical information for managing type 2 diabetes—and helps you stay committed to the diabetes treatment plan that you and your doctor have agreed on.

Once you register, you can come back again and again for tools, ideas, and inspiration to keep you moving toward a healthy balance, one step at a time.

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Type 2 diabetes support: Steps to Balance is a free program for type 2 diabetes support. Program benefits include diabetes-friendly recipes, weight management tools, tracking resources, and healthy-lifestyle information to help with type 2 diabetes support. With the Steps to Balance program, you'll find healthy eating tools that allow you to search over 1,100 recipes, create your own online recipe box, and analyze your favorite foods. The Steps to Balance program provides healthy-lifestyle information such as exercise tips and a weight-loss quiz. Enroll now in the Steps to Balance program for type 2 diabetes support. It's free and easy to join.

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.

JANUVIA should not be used in patients with type 1 diabetes or with diabetic ketoacidosis (increased ketones in the blood or urine). If you have had pancreatitis (inflammation of the pancreas), it is not known if you have a higher chance of getting it while taking JANUVIA.

Selected Risk Information About JANUVIA
Serious side effects can happen in people who take JANUVIA, including pancreatitis, which may be severe and lead to death. Before you start taking JANUVIA, tell your doctor if you've ever had pancreatitis. Stop taking JANUVIA and call your doctor right away if you have pain in your stomach area (abdomen) that is severe and will not go away. The pain may be felt going from your abdomen through to your back. The pain may happen with or without vomiting. These may be symptoms of pancreatitis.

Do not take JANUVIA if you are allergic to any of its ingredients, including sitagliptin. Symptoms of serious allergic reactions to JANUVIA, including rash, hives, and swelling of the face, lips, tongue, and throat that may cause difficulty breathing or swallowing, can occur. If you have any symptoms of a serious allergic reaction, stop taking JANUVIA and call your doctor right away.

Kidney problems, sometimes requiring dialysis, have been reported.

If you take JANUVIA with another medicine that can cause low blood sugar (hypoglycemia), such as a sulfonylurea or insulin, your risk of getting low blood sugar is higher. The dose of your sulfonylurea medicine or insulin may need to be lowered while you use JANUVIA. Signs and symptoms of low blood sugar may include headache, drowsiness, weakness, dizziness, confusion, irritability, hunger, fast heart beat, sweating, and feeling jittery.

Your doctor may do blood tests before and during treatment with JANUVIA to see how well your kidneys are working. Based on these results, your doctor may change your dose of JANUVIA. The most common side effects of JANUVIA are 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.

Please read the Medication Guide for JANUVIA and discuss it with your doctor. The physician Prescribing Information also is available.

This site is intended only for residents of the United States, its territories, and Puerto Rico.
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