A member asked:

I have been on metformin for 2 years. my doctor started me on januvia (sitagliptin) once a day. my blood sugar is 87 and i feel shaky. is it ok?

3 doctors weighed in across 2 answers

Yes: While 87 is probably lower than you are used to, it isn't a dangerously low blood sugar level & this proves the januvia (sitagliptin) is working. A small snack with complex carbs & protein, like a slice of whole wheat bread with some peanut butter, will make you feel better, and as your body adjusts to the lower levels these problems will go away.

Answered 1/20/2019

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Agree with Dr. S: The only caution to Dr. S's suggestion I would add is that you ought to be careful about how much you eat as you are at risk of gaining weight and worsening your diabetes. For nutrition: http://www.choosemyplate.gov/.

Answered 1/20/2019

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