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The Question
10/05/09 01:26 PM

"My husband has Type 2 and he is taking 2000 mg of Januvia for almost a year. His blood sugar is high and we don't know how to lower it, can you help?"
Asked By: dbush01  
Category: Type 2

Background Info Hide
My husband has had Type2 since August, 2002, he was 31; and now he is 38. He has terrible lower back pain and his job can be stressfull; his job position as a welder. He does things out side we live in the country, but his back won't let him at times. He is overweight but not obese.

Expert Answers (1)

10/13/09 04:01 PM

Please recheck the name of your husband's diabetes meds and contact us again. Januvia does not come in doses that would calculate to 2000 mg. a day. Januvia does come combined with another medication called Glucovage (metformin) that could total to doses of 2000 mg/day. Also, let us know what you mean when you wrote that your husband's blood sugars are "too high." The American Diabetes Association recommends that the premeal blood sugar average be less than 130 and the 2-hour after meal blood average beless than 180. Most endocrinologists recommend that the pre-meal and fasting blood sugar average be less than 110 and the 2-hour after meal blood sugar average be less than 140. If your husband's numbers are higher than these recommendations, he should see a dietitian and consult with his doctor. He likely needs a change in his diabetes medicine. Diabetes changes over time, so medication treatments need to change over time. This does not mean that you husband is getting sicker. Diabetes is progressive - this means that over time, the pancreas makes less and less insulin and eventually makes none. At this point, most people will require insulin. What determines diabetes health is not what medicine you need to take to control your numbers. What determines diabetes health is controlling your blood sugar (and cholesterol and blood pressure) numbers and leading a healthy lifestyle. Make sure to share your concerns with your husband. Sharing your feelings about his diabetes health is important for both you and him. Good luck.
Answered By: Donna Yuscavage
Accreditations: RN, BSN, CDE
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Community Answers (1)

10/14/09 10:21 AM

Both pain and stress can raise bs dramatically so that could be much of his problem. You dont mention diet and exercise so without knowing his carb intake its hard to know what is truly causing it. High bs is harmful to the body I know from real experience. So please talk to his doctor about alternative solutions to his high readings they could be very serious.
Answered By: furball64801
FLAG
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*** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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