If bothersome side effects occur, or if blood sugar levels cannot be adequately controlled with Janumet, alternatives to the combination drug should be considered. These alternatives may include lifestyle changes (such as diet and exercise), other oral diabetes medicines, or insulin and other injectable diabetes medications. Medications that can be considered Janumet alternatives include sulfonylureas, biguanides, and meglitinides.
Janumet® (sitagliptin and metformin) is a prescription medication used for the treatment of type 2 diabetes. It is part of a group of diabetes medication called dipeptidyl peptidase inhibitors. The drug is generally effective in treating diabetes, and most people tolerate it well. However, as with all medicines, side effects can occur or the medicine may not completely control diabetes. Fortunately, several alternatives to Janumet for type 2 diabetes are available.
Some of these Janumet substitutes include:
- Lifestyle changes
- Other diabetes medication taken by mouth
- Insulin and other injectable diabetes medications.
Many lifestyle changes have been shown to be effective in controlling type 2 diabetes (especially early type 2 diabetes). These lifestyle changes include:
- Losing weight
- Becoming more physically active (see Diabetes and Exercise)
- Making dietary changes (see Diabetic Diet).
In fact, these changes are important for all people with type 2 diabetes, including people taking diabetes medications.
For many people, lifestyle changes alone may not be enough to adequately control type 2 diabetes. In these cases, medications (including oral and injectable medications) may be necessary.