Dr. Rahul Poddar MBBS, DNB, MBBS, DNB , General Surgery

Janumet works by decreasing the hepatic glucose production. It also works to lower blood sugar by increasing your sensitivity to insulin and decreasing the amount of glucose that is absorbed from the food you eat.

Dr. Ayush Pandey MBBS, PG Diploma , General Physician

Yes, Janumet can cause some sleep problems, especially insomnia. On the other hand, Janumet has proven to be useful for preventing sleep apnea. The exact relationship between Janumet and sleep problems is still not clear, and further studies are needed for a clearer understanding.

Dr. Ram Saini MD, MBBS , General Physician

Janumet can be taken forever, diabetes is a progressive disease it's possible that more medication and/or insulin may eventually need to be added to the regime. 

Dr. Manoj Meena MBBS , General Physician

Lactic acidosis associated with Janumet treatment is a rare but fatal adverse effect. Lactic acidosis appears to result from biguanide interference causing an increase in production and decrease in clearance of lactate leading to higher cellular lactate levels. A decrease in pyruvate carboxylase activity, the rate-limiting enzyme in the formation of glucose from lactate, can also decrease hepatic metabolism of lactate. leading to increasing lactic acidosis. Signs and symptoms of Janumet induced lactic acidosis are nonspecific and include anorexia, nausea, vomiting, altered level of consciousness, hyperpnoea, abdominal pain, and thirst. 

Dr. R.K Singh MBBS , Diabetology

Yes, Janumet can be taken with the statin. There is no serious or harmful interaction have been observed between them. Some studies say that it's possible your blood sugar (blood glucose) level may increase when you take a statin, which may lead to developing type 2 diabetes. The risk is small but important enough that the Food and Drug Administration (FDA) has issued a warning on statin labels regarding blood glucose levels and diabetes.