The Berkeley Test shows that my insulin level is "16" and goal is "<10".
My internist suggested I take Januvia which stimulates the pancreas to produce more insulin. I fail to understand why I should take a med that increases insulin since I already have too high a level.
If my insulin is not good enough to do the job, then, why would more insulin produced from the same pancreas do a better job?
Januvia would raise the insulin level higher, right?
What happens to all that insulin? Insulin level just go higher?
I have controlled Type 2 diabetes for 8 years via diet/exercise only, current A1c 5.9. Exercise is limited due to complications from gallbladder surgery.
Currently I am having problems with sudden weakness about 1 to 1 1/2 hrs. after eating breakfast. I believe it is related to diabetes, however, the internist had no idea why I was having weakness. Eating definitely bails me out, but, weakness is ongoing rest of the day. I am thinking I may be having reactive hypoglycemia or not eating enough carbs. However, this evening I had sudden weakness just before dinner at 6:00 p.m. and lunch was a hearty meal, salad with chicken, crispy tortilla, chips, carrots at local resturant.
your internist has clear evidence to support, through his/her observances during your 8-year history of T2, that your high insulin levels are due to insulin resistance.
In the current stage, he/she likely feels that increasing the pancreatic output of insulin will cause a corresponding reduction in your blood sugar levels, and likely has clinical experience to prescribe from with Januvia and similar cases.
As to weakness, if the weakness is due to lack of metabolic activity, increasing your insulin will provide your body with more nourishment for a given food intake.
I have no experience with Januvia and cannot offer any knowledge on that.
I called Merck, mfgr. of Januvia. I was told that Januvia will increase the insulin level and since I already have a high insulin level Januvia will raise the insulin level even higher. They suggested I ask my physician why he suggested me taking Januvia.
Thought others would be interested in info from Merck on Januvia.