Insulin is one of the options and it is a good one because it works. Using needles is not something people prefer, but if it makes you healthy
in the long run it is much better than the alternative Still, there are many other medications that can be taken by mouth besides Januvia, so you may not need insulin just yet.
Be sure to give dietary changes and exercise a good try and stick with those changes. Keep checking blood sugars regularly. Drink lots of water, cut out all sodas and juices.