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The Question
Sat Apr 05 17:39:36 UTC 2014

How long does it take for Januvia to level out BS and is there a best time of day to take it?
Asked By: malindsay  

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I was diagnosed a Type 2 in Feb 2009 after complaining about severe pain and tingling in my feet. I was put on Metformin 1000mg a day plus Neurontin for the neuropathy. My A1c was 6.9 two weeks ago but I am still having pain in my feet. My doctor took me off of the Metformin and added Januvia 100mg once a day. However, since I started in my BS are higher than what is normal for me. I take Januvia in the morning but by dinner my BS continues to rise to 200 or more at bedtime.
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Expert Answers (1)
2014-04-17 16:50:40.0


Thanks for asking dLife.

Januvia helps to control high blood sugar by increasing insulin secretion and decreasing glucagon production. It enhances pancreatic response to high blood glucose levels and may preserve beta cell function.

Januvia can be taken with or without food any time of the day. To ensure that the medicine is available, we recommend that it be taken consistently around the same time each day. Routine often helps in remembering to take their medicines.

How quickly Januvia takes effect vary. Some patients with diabetes notice that it works right away. For others, it may take up to 4-7 days.

As they work well together, typically Januvia is taken along with metformin. Since you are no longer taking metformin, your blood glucose levels may go up before Januvia has a chance to take effect.

Learn more about the Januvia.

Take care.

Answered By: Liz Quintana
Accreditations: EdD, RD, LD, CDE
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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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