Doctor Explains How To Use SITAGLIPTIN (Januvia) | How It Works, Dose, Side Effects + More [3a5ecc]

2025-07-26

Post Time: 2025-07-26

High blood sugar, also known as hyperglycemia, is a condition where there's an excessive amount of glucose in the blood. This can occur due to various factors, including poor diet, lack of physical activity, stress, illness, or inadequate insulin production or usage by the body. While occasional spikes in blood sugar might not be a major concern, persistently high levels can lead to serious health complications such as diabetes, heart disease, nerve damage, and kidney problems. If you are experiencing symptoms or have recently been diagnosed with high blood sugar, it's crucial to understand effective strategies to lower it quickly and safely.

Recognizing the Signs of High Blood Sugar

Before discussing how to lower blood sugar, it's important to recognize the common signs and symptoms, which include:

  • Frequent urination, especially at night
  • Excessive thirst
  • Unexplained weight loss
  • Increased hunger
  • Blurred vision
  • Fatigue
  • Slow-healing sores
  • Frequent infections
  • Headaches

It's important to note that some people with high blood sugar may not experience any noticeable symptoms, especially in the early stages. Regular check-ups and blood glucose monitoring are crucial for early detection and management.


Immediate Strategies to Lower High Blood Sugar

If you're experiencing symptoms of high blood sugar, here are immediate steps you can take to help lower your levels quickly:

  1. Hydrate with Water: Drinking plenty of water helps dilute the glucose in your bloodstream and assists your kidneys in flushing out excess sugar through urine. Aim for a minimum of 8 glasses of water per day, and more when your blood sugar is high. Research from the National Institutes of Health suggests that adequate hydration plays a critical role in regulating blood sugar levels, especially in those with diabetes.

  2. Engage in Light Exercise: Physical activity is a natural way to use up excess glucose in the blood. Even a short walk can help lower blood sugar levels. For example, a study published in the Diabetes Care journal showed that 30 minutes of moderate-intensity walking significantly lowered postprandial (after-meal) blood glucose levels in type 2 diabetics. Simple activities include:

    • A 15-20 minute brisk walk
    • Light housework like gardening or vacuuming
    • Gentle yoga or stretching

    Avoid strenuous exercise when blood sugar is very high, as this could sometimes increase the levels even further. It is crucial to talk with your doctor about the type of exercise regimen that would be best suited to your specific needs.

  3. Check Your Medications: If you take medications for diabetes, double-check that you're taking the correct dose and that they have not expired. Missed doses or incorrect dosages are often causes of uncontrolled blood sugar.

  4. Avoid Sugary Drinks and Foods: Cut out sugary beverages like sodas, juices, and sweetened coffees immediately. Similarly, avoid simple carbohydrates like white bread, pastries, and candy, which can rapidly increase blood sugar levels.

  5. Insulin Administration (if prescribed): If you use insulin to manage your diabetes, follow your healthcare provider's instructions for insulin administration to help normalize your blood sugar. Monitor your blood glucose closely following injection as insulin can cause blood sugar to lower too much if the dose is incorrect.

  6. Follow the "Plate Method": This is a simple and effective way to manage food portions that would positively influence your blood sugar levels. When preparing your meals, try to fill half the plate with non-starchy vegetables like broccoli and leafy greens, one-quarter of the plate with protein such as lean meat, fish or legumes, and one-quarter of the plate with whole grains like brown rice, quinoa or whole wheat pasta.


Long-Term Strategies for Maintaining Healthy Blood Sugar

While immediate actions are important for managing temporary spikes, it's crucial to develop a comprehensive approach for long-term blood sugar management. Here are some key steps:

  1. Adopt a Balanced Diet: A consistent, balanced diet is fundamental in maintaining stable blood sugar levels. Focus on whole, unprocessed foods, emphasizing non-starchy vegetables, lean proteins, and complex carbohydrates with high fiber. Foods to prioritize include:

    • Leafy greens: Spinach, kale, and collard greens are low in calories and carbohydrates, but rich in fiber and nutrients.
    • Non-starchy vegetables: Broccoli, cauliflower, peppers, cucumbers and asparagus are also low in carbohydrates and have high fiber and water contents that help you feel full for a longer time.
    • Lean proteins: Chicken breast, turkey, fish, and tofu provide essential building blocks without significantly affecting blood sugar.
    • Complex carbohydrates: Brown rice, quinoa, whole-grain bread, and oatmeal provide slow-releasing energy without causing drastic spikes in blood sugar.
    • Healthy fats: Avocados, nuts, and olive oil contribute to overall health and can help moderate blood sugar levels.
  2. Regular Physical Activity: Aim for at least 150 minutes of moderate-intensity aerobic activity per week, as well as incorporate strength training exercises. Physical activity improves insulin sensitivity, helping your body utilize glucose more efficiently and keep your blood sugar levels in check. Activities like:

    • Swimming
    • Cycling
    • Hiking
    • Dancing can make for enjoyable exercise regimens.
  3. Maintain a Healthy Weight: Losing even a small amount of weight can significantly improve insulin resistance and lower your risk of high blood sugar. Maintaining a healthy Body Mass Index (BMI) is vital for regulating blood sugar. For instance, research published in the American Journal of Clinical Nutrition indicates that losing just 5-10% of your body weight can have a notable positive impact on blood glucose levels.

  4. Regular Blood Glucose Monitoring: Checking your blood sugar levels regularly, as directed by your healthcare provider, is vital for understanding how different foods, activities, and lifestyle factors impact your levels. This can also allow you to adjust your dietary and exercise habits accordingly. If you are not currently doing so, ask your healthcare provider about starting regular home blood glucose monitoring.

    • Fasting Blood Sugar (FBS): Taken after an 8 hour overnight fast
    • Postprandial Blood Sugar (PPBS): Taken two hours after starting a meal A medical professional will assess whether you require these tests, and how often you should be undertaking them, for optimal glucose monitoring.
  5. Manage Stress: Chronic stress can contribute to high blood sugar. Techniques like mindfulness meditation, deep breathing exercises, and yoga can help manage stress levels and consequently help maintain healthy glucose levels. Consider incorporating these stress-relieving practices into your daily routines.

  6. Adequate Sleep: Sleep deprivation can negatively impact blood sugar. Aim for 7-9 hours of quality sleep per night to regulate your body's hormones that help to keep glucose at healthy levels. Creating a consistent sleep schedule, avoiding electronic devices before bed, and establishing a comfortable sleep environment can help to facilitate good sleep hygiene.

  7. Consult Healthcare Professionals: Working closely with a healthcare team, including a doctor and registered dietician, is essential for developing a personalized management plan. They can offer tailored advice on diet, exercise, and medication adjustments. For instance, a doctor can advise on the necessity of drugs like Metformin or SGLT2 Inhibitors, and dietician can provide tailored meal plans suitable for an individual's unique circumstances.

Understanding the Role of Fiber

Fiber is a crucial component of a healthy diet, particularly for individuals aiming to manage their blood sugar. It aids in slowing down the digestion and absorption of carbohydrates, thus helping to prevent rapid spikes in blood sugar levels after meals. Foods high in fiber include:

  • Legumes: Lentils, beans, and chickpeas
  • Whole grains: Oats, brown rice, and quinoa
  • Fruits: Apples, berries, and pears
  • Vegetables: Especially those from the cabbage, kale, broccoli and cauliflower families.

Incorporating these fiber-rich foods into your daily diet can significantly contribute to long-term glucose management and general wellbeing.


When to Seek Medical Attention

While immediate actions can help lower high blood sugar in the short term, it's crucial to recognize situations that require prompt medical attention:

  • Extremely High Blood Sugar: If your blood sugar levels are persistently above 250 mg/dL, seek medical help immediately. Very high glucose levels could result in a condition known as Diabetic Ketoacidosis (DKA) which requires urgent medical management.

  • Symptoms of DKA: Symptoms like fruity-smelling breath, nausea, vomiting, rapid breathing, confusion, or loss of consciousness demand immediate medical intervention.

  • Persistent High Blood Sugar: If your high blood sugar levels do not decrease despite following immediate measures.

  • Unexplained Weight Loss: Sudden, unexplained weight loss in addition to symptoms of high glucose levels should prompt you to schedule an urgent appointment with your health provider.

  • Change in Mental Status: Confusion, disorientation or increased sleepiness that is beyond what would be expected on an average day should also warrant further investigation by your physician.

  • Presence of Fever: A fever, especially when associated with glucose levels that are above expected levels, should raise red flags, especially when accompanied with nausea, vomiting and flu like symptoms.

High blood sugar is a serious health concern that, if left unmanaged, can have long-term consequences. While it can be a challenging process, a proper mix of immediate strategies, long term changes and close follow ups with medical professionals can keep the blood sugar levels at healthy levels for individuals at different levels of their healthcare journeys. By understanding the risk factors and consistently applying best practices, you can take control of your blood sugar and maintain optimal health and wellbeing.

In this video Doctor O'Donovan explains key facts you need to know about a medication called SITAGLIPTIN (also known as Januvia) and how it is used to treat type 2 diabetes. Sitagliptin belongs to a group of medicines called dipeptidylpeptidase-4 inhibitors (DPP-4 inhibitors) or gliptins. In the video we cover: 1. How sitagliptin works (0.38s) 2. Who can and cannot take it (1.35s) 3. How and when to take it (2.40s) 4. Side effects (3.43s) 5. Guidance if you are normal blood sugar during the day pregnant or breastfeeding (6.21s) 6. Interactions (7.15s) Key facts from the NHS: "- Sitagliptin starts to work within a few hours. You need to take it every day to make sure your blood sugar stays as stable as possible. - You take sitagliptin once a day. - The most common side effect of sitagliptin is headaches. - This medicine does not usually make you put on weight. - If you have diabetes, you're entitled to free prescriptions for all of your medicines, not just your diabetes ones." Further information: NHS information on sitagliptin: Patient Information: Medicines UK information on sitagliptin: #doctor #diabetes #medication #pharmacy ************************************************************************ Connect through: 248 blood sugar level YouTube: www.youtube.com/doctorodonovan​ TikTok: @doctorodonovan ************************************************************************** Disclaimer: The video is intended as 209 mg/dl blood sugar level an educational resource only. The information within this video or on this channel isn't designed to replace professional input, so if you have any medical issues please consult a medical provider. No professional relationship is being created by watching this video. Dr. O’Donovan cannot give any individual medical advice. All information should be verified for accuracy by the individual user. Dr O’Donovan accepts no responsibility for individual interpretation of data, although it is always accurate to the best of his knowledge at the time of the video being published. This is an EDUCATIONAL video. Images are used in accordance with fair use guidelines. Legal information: Content provided via YouTube is for general information purposes ONLY. Information videos are not produced to provide individualised medical advice. Medical education videos on Doctor O'Donovan are not a substitute for professional professional medical advice, diagnosis or treatment. NEVER ignore professional medical advice because of something you have heard here. ALWAYS consult your doctor regarding any concerns about your condition or treatment.
Doctor explains how to use SITAGLIPTIN (Januvia) | How it works, dose, side effects + more
Doctor Explains How To Use SITAGLIPTIN (Januvia) | How It Works, Dose, Side Effects + More [3a5ecc]