Diabetes and a healthy lifestyle

Finding your healthy lifestyle. Making healthy decisions and managing your diabetes can be difficult at times. Your doctor and your health care team can make things a little easier by giving you tools and information on controlling your blood sugar. Also, they can direct you to other experts who can help you, such as a dietitian or diabetes educator. Be sure to ask about these resources at your next appointment. To help you start your healthy lifestyle conversation, print out your handy Doctor Discussion Guide and take it along with you As part of your healthy lifestyle, your doctor may recommend certain changes: modifying your diet, becoming more active, losing weight, and maybe even taking diabetes medicine every day. Along with eating right and exercising regularly, JANUVIA can be a healthy step toward lowering blood sugar levels. JANUVIA (jah-NEW-vee-ah) works differently to lower blood sugar in 2 ways. It's a once-daily prescription pill that helps your body Increase the insulin made in your pancreas Decrease the sugar made in your liver Along with diet and exercise, JANUVIA helps lower blood sugar levels in adults with type 2 diabetes. JANUVIA is not likely to cause weight gain and is not likely to cause low blood sugar. The next time you see your doctor, ask what else you can do to control your blood sugar and whether JANUVIA can help. Your Doctor Discussion Guide contains 11 important questions to ask at your appointment, including questions about controlling your blood sugar and lifestyle management. Be sure to print it out and take it with you. Staying well informed about type 2 diabetes can also be part of a healthy lifestyle. Your doctor is your primary source of information, but there's also valuable information available to you at Januvia.com.

JANUVIA is a once-daily prescription pill that, along with diet and exercise, helps lower blood sugar levels in adults with type 2 diabetes. Important Information About JANUVIA JANUVIA has not been studied with insulin and should not be used to treat patients with type 1 diabetes or diabetic ketoacidosis (increased ketones in the blood or urine) or used if you are allergic to JANUVIA. Your doctor may perform blood tests from time to time to measure how well your kidneys are working. If you have kidney problems, your doctor may prescribe lower doses of JANUVIA. When JANUVIA is used with a sulfonylurea, low blood sugar (hypoglycemia) can occur. To avoid this risk, your doctor may prescribe lower doses of the sulfonylurea. Allergic reactions, which may be serious, including rash, hives, and swelling of the face, lips, tongue, and throat that may cause difficulty breathing or swallowing, can occur. If you have an allergic reaction, stop taking JANUVIA and call your doctor right away. The most common side effects include upper respiratory tract infection, stuffy or runny nose and sore throat, and headache. Please read the Patient Information and discuss it with your doctor. Also available is the Prescribing Information. You may have also elected to receive e-mails and other online communications from Merck. If you no longer wish to receive e-mail communications from Merck & Co., Inc., please click here. If you have trouble accessing this link, please send an e-mail to merck_privacy_office@merck.com with a subject line of "E-mail Opt Out Request - JA812". JANUVIA is a registered trademark of Merck & Co., Inc. Copyright � 2009 Merck & Co., Inc. All rights reserved. Merck & Co., Inc., WS3B-85, One Merck Drive, PO Box 100, Whitehouse Station, NJ 08889. 20951425(2)-07/09-JAN

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