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Januvia Substitutes. If JanuviaÂ® (sitagliptin) is not working for you, or if it is causing bothersome side effects, you may want to ask your healthcare provider about substituting another medication. Several alternatives to Januvia are available for type 2 diabetes. These include other oral diabetes drugs, such as:
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. Read More. I am taking metformin glimperide januvia and atenolol for my high blood pressure.