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In a deal expected to be announced thursday, merck has agreed to peg what the insurer cigna pays for the diabetes drugs januvia and janumet to how well type 2 diabetes patients are able to control their blood sugar.

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Information about Januvia.

Take Januvia exactly as it was prescribed for youFollow all directions on your prescription label and read all medication guides or instruction sheetsYour doctor may occasionally change your doseUse the medicine exactly as directed.

Your blood sugar will need to be checked oftenand you may need other blood tests at your doctor’s office.

Get emergency medical help if you have signs of an allergic reaction to Januviahivesdifficult breathingswelling in your face or throator a severe skin reactionfeversore throatburning in your eyesskin painred or purple skin rash that spreads and causes blistering and peeling

Low blood sugarhypoglycemiacan happen to everyone who has diabetesSymptoms include headachehungersweatingirritabilitydizzinessnauseaand feeling shakyTo quickly treat low blood sugaralways keep a fast-acting source of sugar with you such as fruit juicehard candycrackersraisinsor non-diet soda.

Blood sugar levels can be affected by stressillnesssurgeryexercisealcohol useor skipping mealsAsk your doctor before changing your dose or medication schedule.

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more recently, studies have shown that januvia side effects may also be linked to pancreatic cancer or thyroid cancer.

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