Janumet

Why we all seem to carry it all around the waist...

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Janumet

Postby miracle19 » Tue Oct 01, 2013 4:25 pm

Hello, wonder if any of you can help.

After my last diabetic nurse apt she changed my metformin (3x a day) to taking Janumet (2x daily) - which is a mixture of Metformin 1G/Sitagliptin 50mg.
Just wondered if anyone else has had these. Since having them for last week I have basically felt pretty nauseaus most of the time. This obv helps with eating less as I just don't want to eat. But a few after eating and taking tablet I get a tight, bloated feeling in my stomach and then just feel sick, not actually been sick. Just wanted to know whether this is normal or whether I should approach nurse to ask...

Thanks guys x
TTC baby number 2 since 2007
10 cycles of Clomid DIDN'T WORK.
Ovarian Drilling DONE 17th May 2012....
Diagnosed Type 2 Diabetes Aug 2013
5 natural cycles since then...
27.1.14 BFP!!!!!!! oh my god! DUE DATE 3.10.14 IT'S A BOY!!
NEVER GIVE UP HOPE!
BABY BOY JOSHUA STEPHEN BORN 25.9.14 WEIGHING 8lb 1oz


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Re: Janumet

Postby Chicken » Fri Oct 04, 2013 8:42 pm

Hi

I would question this. It does contain metformin but it also contains another drug which stimulates insulin production (metformin just makes you use the insulin you do have more efficiently).

It's not uncommon as a type 2 diabetes treatment, but it cannot be used in pregnancy (or breastfeeding) while metformin can.

My team discussed the drugs available and told me they would not consider Janumet as they know I want to TTC so I need to control my blood sugars using methods suitable to take me through pregnancy. Otherwise I'd have to try and get used to / balance it all out with new drugs as soon as I got a BFP (not to mention the risks of falling pregnant and not realising right away to stop taking it).

If metformin wasn't enough, consider taking a slow release insulin while TTC in conjunction with it. It is really easy, I am a total needle phobe but you can't feel it. It is easier than taking tablets and hurts less than finger pricks.

I'm on 2000mg metformin, 10 units Insultard (insulin) and high dose folic acid. I also have fast acting insulin for when I want carbs at breakfast (otherwise can only have eggs or yogurt as my morning levels go crazy).

Let us know how you get on.
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Re: Janumet

Postby miracle19 » Sat Oct 05, 2013 7:54 am

Thanks for the reply Chicken. At my first apt the nurse told me to stop trying til I had levels under control but now I am feeling as my apt isn't for another 3 months that I am losing valuable time especially as I have had two AF in a row..most unlike me with intervention.

Oh well will see how I do. Have managed to get blood sugars down considerably...not completely perfect yet but getting there.
TTC baby number 2 since 2007
10 cycles of Clomid DIDN'T WORK.
Ovarian Drilling DONE 17th May 2012....
Diagnosed Type 2 Diabetes Aug 2013
5 natural cycles since then...
27.1.14 BFP!!!!!!! oh my god! DUE DATE 3.10.14 IT'S A BOY!!
NEVER GIVE UP HOPE!
BABY BOY JOSHUA STEPHEN BORN 25.9.14 WEIGHING 8lb 1oz


Image

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miracle19
 
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Re: Janumet

Postby Chicken » Sat Oct 05, 2013 9:09 am

Hi

I was told not to try until my levels were under very tight control too so that is not unusual, but my diabetes team take the approach that I need to get that tight control in a pregnancy friendly way so it can then be maintained throughout, rather than mixing things up.

I'm sure you will be okay though as people can and do fall pregnant with undiagnosed diabetes and when I was attending the diabetic clinic during pregnancy I couldn't believe how unseriously people took it. I spoke to a few Mums who were moaning they would be in trouble for not taking their readings but figured it would be better not to take them as they would be high ... I remember somebody saying that "as if I would take a reading post having fish and chips and a whole tub of Ben and Jerrys, better to say I forgot than have a strip torn off me for a really high reading".
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Re: Janumet

Postby miracle19 » Sat Oct 05, 2013 9:49 am

oh my god! that is stupid. If anything I test too much and definitely would if have had something that might make levels go up I definitely test. It means I know the stuff I have to definitely avoid etc.
I definitely would during pregnancy.
I will talk to my diabetic nurse and see what she says. xxx
TTC baby number 2 since 2007
10 cycles of Clomid DIDN'T WORK.
Ovarian Drilling DONE 17th May 2012....
Diagnosed Type 2 Diabetes Aug 2013
5 natural cycles since then...
27.1.14 BFP!!!!!!! oh my god! DUE DATE 3.10.14 IT'S A BOY!!
NEVER GIVE UP HOPE!
BABY BOY JOSHUA STEPHEN BORN 25.9.14 WEIGHING 8lb 1oz


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miracle19
 
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Re: Janumet

Postby Chicken » Sat Oct 05, 2013 11:13 am

The three month wait is because it takes the red blood cells 8-12 weeks to regenerate and so you will have some older ones with too much sugar attached (which would pass to the baby through the placenta). You probably know all this! I had my follow up after 10 weeks and was given the go ahead to TTC (ovulating is another issue though).

They say you need an HBA1c of 48 or less if you want to TTC to minimise the risks, that is actually an average reading of about 7.8 on the meters (averaging out before and after readings). You might know that already but if not hope it helps as it isn't impossibly low. Mine was actually much, lower and in 10 weeks my HBA1c dropped by 20, I'd probably have been safe TTC before they said.

Just wish I could actually have a normal cycle now so we have the chance to try. FF says I've ovulated but I disagree, it looks very different to my cycles before I had my daughter.
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Re: Janumet

Postby miracle19 » Fri Nov 01, 2013 10:09 am

Well - ended up having to come off Janumet as it made me really ill. Severe stomach cramps, vomiting, diahrea. It was horrendous. Felt so ill. On something new so hoping that helps. I now know that even one sweet seems to affect my blood sugar so Halloween has been a tempting nightmare. LOL!

Oh well never said it was going to be a short journey sorting this out did they. x
TTC baby number 2 since 2007
10 cycles of Clomid DIDN'T WORK.
Ovarian Drilling DONE 17th May 2012....
Diagnosed Type 2 Diabetes Aug 2013
5 natural cycles since then...
27.1.14 BFP!!!!!!! oh my god! DUE DATE 3.10.14 IT'S A BOY!!
NEVER GIVE UP HOPE!
BABY BOY JOSHUA STEPHEN BORN 25.9.14 WEIGHING 8lb 1oz


Image

http://swlm.lilyslim.com/TikiPic.php/DyDFRg7.jpg
The ticker URL:
http://swlm.lilyslim.com/DyDFp1.png

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miracle19
 
Posts: 2395
Joined: Thu Jun 17, 2010 6:02 pm


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