Consideration can be given to cautiously reinitiating januvia if another etiology is deemed likely to have precipitated the acute worsening of renal function.
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my doctor told me to take a small amount of glimepiride instead of a whole pill- to take 1 fourth of a pill with the januvia-but i am taking half a pill and still my blood sugar is higher.
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januvia belongs to a class of drugs that work by slowing down the metabolism of naturally-occurring hormones known as incretins – specifically glucagon-like peptide-1 glp-1 .
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