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The Question
Fri Apr 25 15:23:40 EDT 2014

I'm a T2 that was on Januvia until the pancreatitis/ cancer scare and now using Levemir with Metformin. I understand that Januvia may be OK now?
Asked By: redheeler  
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Background Info Hide
Older male with Type 2 for 20 years, continually on Metformin and various combinations of other oral drugs. Stopped Januvia when all the concerns about pancreatic cancer surfaced. Now using Levemir in increasing doses but still not as effective as Levemir was. I have recently read that Januvia may not cause pancreatic cancer after all. My basic issue: Levemir or Januvia? Pros and cons?
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Expert Answers (1)
2014-05-08 14:40:10.0

Hello,

Thanks for asking dLife.

Januvia helps to control high blood glucose by increasing insulin and decreasing glucose that are made in the liver. When blood glucose levels are high, insulin production is boosted and glucose production by the liver drops off. Januvia also appears to preserve beta cell function.

The Food and Drug Administration (FDA) investigating reports of possible increased risk of pancreatitis and pre-cancerous findings of the pancreas. The FDA has not concluded the drug may cause or contribute to the development of pancreatic cancer. They caution consumers:

  • At this time, patients should continue to take their medicine as directed until they talk to their health care professional, and health care professionals should continue to follow the prescribing recommendations in the drug labels.

    Reference FDA Drug Safety Communication.

    Touch base with your doctor and share your concerns. He or she can evaluate your diabetes treatment plan and determine how best to bring your blood glucose levels closer to target.

    Take care.

  • Answered By: Liz Quintana
    Accreditations: EdD, RD, LD, CDE
    Sources Show

    Community Answers (1)
    2014-05-13 16:16:30.0

    Thanks for the response and for understanding what I meant despite my obvious typo- I meant to say that Levemir does not seem to be as effective for me as Januvia was. Sorry for the confusion.
    Answered By: redheeler

    Sources Show


     

    *** 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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