Originally Posted by dingoling
My mom is 80 years old and suffers from type 2 diabetes and kidney failure. Recently her kidney tests worsened so her physician asked her to stop taking metformin and to take 25 mg of januvia instead.
I am very hesitant about her taking this drug due to the relative lack of experience with it and the possibility of it having serious side effects yet unknown.
I always go with my mom to her appointments but cannot discuss these concerns with her physician, as he already considers me some kind of hypochondriac. He may become upset if I ask questions or request that my mom be referred to a diabetes specialist for a second opinion. On the other hand, it is possible that my doubts are unjustified.
Any thoughts on this matter would be appreciated.
Thank you in advance.
How are her blood sugars? Is she only high after she eats or is her fasting also high. Metformin is the gold standard for starting treatment. After that fails or needs to be changed, basal insulin is also recommended. The side effects of insulin is that it lowers blood sugar. Because it is made in the body if you are worried about side effects, he could try that. If the blood sugars are high only after meals, mealtime insulin could be used. There are options. Its good you are looking out for her best interest.