Januvia is a good medication, although it may not be enough to bring your glucose levels under good control given that your A1C
is so high. 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.