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Have High Cholesterol. Can Januvia Be Taken Twice A Day For Higher Blood Sugar?

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Posted on Mon, 21 Oct 2013
Question: Can Januvia be taken twice a day for higher blood sugars that is normal for me?


I do have high cholesterol but just got yearly blood work and it was 174. (Taking Zocor). My A1C was 7.0. My general practioner just retired about 6 months ago due to a stroke and have not had the time to find new family doc. Also, I know that sometimes pain will cause the sugar to spike and I have been in severe pain with my shoulder for about 6 months. Work a full time job transcribing for a cardiologist.
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Answered by Dr. Michelle Gibson James (29 minutes later)
Brief Answer:
the dose frequency cannot be altered

Detailed Answer:
HI, thanks for using healthcare magic

It can only be taken once daily. The recommended dosage of all medications is based on clinical studies looking at the absorption of medications, the metabolism and elimination of the medication, mechanism of action and potential side effects.

Januvia is only recommended to be taken once daily. It would be best not to alter this dosage because it would effect the side effects and other aspects of the medication on the body.

If your blood sugar levels are higher than normal then other alterations either in other medications or diet would have to be made if there are no other secondary causes such as infection or trauma.

If there are no dietary changes that could have resulted in the increased blood glucose levels then you may need additional medications to control your blood sugars.

Diabetes is a progressive illness . This progression occurs due to burnout of the pancreas. For this reason the dose and number of medications needed to achieve control increases during the course of the disease.

I hope this helps, feel free to ask any additional questions
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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Have High Cholesterol. Can Januvia Be Taken Twice A Day For Higher Blood Sugar?

Brief Answer:
the dose frequency cannot be altered

Detailed Answer:
HI, thanks for using healthcare magic

It can only be taken once daily. The recommended dosage of all medications is based on clinical studies looking at the absorption of medications, the metabolism and elimination of the medication, mechanism of action and potential side effects.

Januvia is only recommended to be taken once daily. It would be best not to alter this dosage because it would effect the side effects and other aspects of the medication on the body.

If your blood sugar levels are higher than normal then other alterations either in other medications or diet would have to be made if there are no other secondary causes such as infection or trauma.

If there are no dietary changes that could have resulted in the increased blood glucose levels then you may need additional medications to control your blood sugars.

Diabetes is a progressive illness . This progression occurs due to burnout of the pancreas. For this reason the dose and number of medications needed to achieve control increases during the course of the disease.

I hope this helps, feel free to ask any additional questions