SET SOME GOALS FOR LIVING WITH TYPE 2 DIABETES

Managing type 2 diabetes isn’t just about taking your treatment—it also involves committing to healthy lifestyle changes.

Looking for advice to get started on a healthier path? Already have some healthy routines down? No matter where you are along your management journey, every day can be a fresh start to living healthier with type 2 diabetes.

Here’s something you can do today—set some personal goals to help motivate you. Remember that even a small change can enhance your health if you stick with it.

Check out the following areas where you can set some goals for living with type 2 diabetes:

EATING HEALTHY

Following a healthy diet starts with understanding how different foods affect your blood sugar. When you eat foods that contain carbohydrates, your body breaks them down into glucose (sugar). Proteins and fats don’t directly impact blood sugar, but should still be eaten in moderation.

MAKE A MEAL PLAN

Work with your health care team to understand how different foods impact you. Then, you can set some healthy eating guidelines. Your plan may evolve as you discover what works for you, and that’s OK!

COUNT YOUR CARBS

Your body breaks down carbohydrates into glucose (sugar). That means tracking your carbohydrates is important to help keep your blood sugar levels within target range. Keep in mind that 1 “carb choice” is typically 15 grams of carbohydrates.

TALK WITH YOUR HEALTH CARE TEAM TO DETERMINE THE DAILY CARB INTAKE THAT WORKS FOR YOU.

Then, use these examples of 15-gram carb portions as your guide.

*Canned or frozen.

KNOW YOUR PORTIONS

Here are some quick tricks to help you gauge your portions at a glance:

Of snack food.

STAYING ACTIVE

Staying active is an important part of managing your blood sugar and A1C levels. It can also help reduce stress (which is crucial, because stress can increase your blood sugar).

The good news is, there’s no one right way to exercise—it’s more about exercising consistently. Figure out what kind of activity works for you and fits into your schedule (and is enjoyable!).

MAKE EXERCISE MANAGEABLE

You may be asking, “How much should I exercise?” The American Diabetes Association (ADA) recommends 150 minutes or more of moderate-intensity aerobic activity a week for adults. (Think of that as the length of a long movie). That includes muscle-strengthening activities that work all your major muscle groups twice a week or more. Always work with your health care team to determine what’s right for you.

HERE ARE SOME TIPS TO MAKE THAT MORE MANAGEABLE:

TAKING QTERN

QTERN® (dapagliflozin and saxagliptin) is a once-daily pill taken in the morning, with or without food. Swallow QTERN whole, and do not split or cut tablets. Always take QTERN as prescribed, and consider these tips to help you make QTERN part of your routine:

  • Work QTERN into a routine you already have. For example, take QTERN every morning with your breakfast, or after you brush your teeth
  • Give yourself a reminder—set an alert on your cellphone, or put a sticky note on the fridge. We all have a lot on our minds, and a physical reminder can help!

ALSO, REMEMBER TO KEEP YOUR HEALTH CARE TEAM UPDATED AT EACH OFFICE VISIT:

  • Ask your doctor to review your list of medicines
  • Tell your doctor about any changes to your health or about any changes in the medicines you are taking, both over-the-counter and prescription

MANAGING BLOOD SUGAR

Your blood sugar levels can help inform if you’re on the right track with your type 2 diabetes plan. Your health care team can help you determine the target levels that are best for you.

HOW IS MY BLOOD SUGAR MEASURED?

  • The A1C test measures your average blood sugar level over the previous 2 to 3 months and is given as a percentage. The higher your A1C level, the more sugar you have in your blood
  • Your doctor may recommend you self-monitor to check your blood sugar levels every day

KEEP IN MIND

  • If you recently started a new type 2 diabetes treatment, it may take some time to see the results
  • Recording blood sugar levels can help you spot trends of when your blood sugar levels are too high or low

Important Safety Information for QTERN® (dapagliflozin and saxagliptin) and FARXIGA® (dapagliflozin)

Who should not take QTERN or FARXIGA?

Do not take QTERN or FARXIGA if you:

  • are allergic to dapagliflozin (FARXIGA), saxagliptin or any of the ingredients in QTERN. Symptoms of a serious allergic reaction may include: swelling of the face, lips, throat and other areas of your skin; difficulty with swallowing or breathing; skin rash, itching, flaking or peeling; raised red areas on your skin (hives). If you have any of these symptoms, stop taking QTERN or FARXIGA and call your health care provider or go to the hospital emergency room right away
  • have moderate to severe kidney problems or are on dialysis. Your health care provider should do blood tests to check how well your kidneys are working before and during your treatment with QTERN or FARXIGA

What are the possible side effects of QTERN or FARXIGA?

QTERN or FARXIGA may cause serious side effects including:

  • Inflammation of the pancreas (pancreatitis) which may be severe and lead to death. Before taking QTERN, tell your health care provider if you ever had pancreatitis, gallstones, history of alcoholism or high triglyceride levels. Stop taking QTERN and contact your health care provider right away if you have pain in your stomach area (abdomen) that is severe and will not go away. The pain may be felt going from your abdomen through to your back. The pain may happen with or without vomiting. These may be symptoms of pancreatitis
  • Heart Failure. Before taking QTERN, tell your health care provider if you have ever had heart failure or problems with your kidneys. Contact your health care provider right away if you have any of the following symptoms of heart failure: increasing shortness of breath or trouble breathing, especially when you lie down; swelling or fluid retention in the feet, ankles or legs; an unusually fast increase in weight; unusual tiredness
  • Dehydration (the loss of body water and salt) which may cause you to feel dizzy, faint, lightheaded or weak, especially when you stand up (orthostatic hypotension). You may be at a higher risk of dehydration if you have low blood pressure, take medicines to lower your blood pressure, including water pills (diuretics), are 65 years of age or older, are on a low salt diet or have kidney problems
  • Ketoacidosis occurred in people with type 1 and type 2 diabetes during treatment with dapagliflozin (FARXIGA), one of the medicines in QTERN. Ketoacidosis is a serious condition which may require hospitalization and may lead to death. Symptoms may include nausea, tiredness, vomiting, trouble breathing, and abdominal pain. If you get any of these symptoms, stop taking QTERN or FARXIGA and call your health care provider right away. If possible, check for ketones in your urine or blood, even if your blood sugar is less than 250 mg/dL
  • Kidney problems. Sudden kidney injury occurred in people taking dapagliflozin (FARXIGA), one of the medicines in QTERN. Talk to your health care provider right away if you reduce the amount you eat or drink, or if you lose liquids, for example, from vomiting, diarrhea, or excessive heat exposure
  • Serious urinary tract infections (UTI), some that led to hospitalization, occurred in people taking dapagliflozin (FARXIGA), one of the medicines in QTERN. Tell your health care provider if you have any signs or symptoms of UTI including a burning feeling when passing urine, a need to urinate often, the need to urinate right away, pain in the lower part of your stomach (pelvis), or blood in the urine with or without fever, back pain, nausea, or vomiting
  • Low blood sugar (hypoglycemia). If you take QTERN or FARXIGA with another medicine that can cause low blood sugar such as a sulfonylurea or insulin, your risk of getting low blood sugar is higher. Symptoms of low blood sugar include shaking, sweating, rapid heartbeat, change in vision, hunger, headache, drowsiness, weakness, change in mood, confusion, or irritability. Follow your health care provider’s instructions for treating low blood sugar
  • Bacterial infections under the skin of the genitals and areas around them. Rare but serious infections that cause severe tissue damage under the skin of the genitals and areas around them have happened with dapagliflozin (FARXIGA), one of the medications in QTERN. This infection has happened in women and men and may lead to hospitalization, surgeries and death. Seek medical attention immediately if you have fever or you are feeling very weak, tired or uncomfortable and you also develop any pain or tenderness, swelling, or redness of the skin in the genitals and areas around them
  • Serious allergic reactions have been reported in patients taking QTERN. If you have any symptoms of a serious allergic reaction, stop taking QTERN and get medical help right away
  • Vaginal yeast infections in women who take QTERN or FARXIGA. Talk to your health care provider if you experience vaginal odor, white or yellowish vaginal discharge (discharge may be lumpy or look like cottage cheese) or vaginal itching
  • Yeast infection of skin around the penis (balanitis) in men who take QTERN or FARXIGA. Talk to your health care provider if you experience redness, itching, or swelling of the penis; rash of the penis; foul smelling discharge from the penis; or pain in the skin around penis. Certain uncircumcised men may have swelling of the penis that makes it difficult to pull back the skin around the tip of the penis
  • Increase in bad cholesterol (LDL). Your health care provider should check your LDL during treatment with QTERN or FARXIGA
  • Bladder cancer. In studies of dapagliflozin (FARXIGA), one of the medicines in QTERN, bladder cancer occurred in a few more people who were taking FARXIGA than in people who were taking other diabetes medications. There were too few cases of bladder cancer to know if bladder cancer was related to FARXIGA. You should not take QTERN or FARXIGA if you have bladder cancer. Tell your health care provider right away if you have blood or a red color in your urine or pain while you urinate
  • Joint pain. Some people who take DPP-4 inhibitors like saxagliptin, one of the medicines in QTERN, may develop joint pain that can be severe. Call your health care provider if you have severe joint pain
  • Skin reaction. Some people who take DPP-4 inhibitors like saxagliptin, one of the medicines in QTERN, may develop a skin reaction called bullous pemphigoid that can require treatment in a hospital. Tell your health care provider right away if you develop blisters or the breakdown of the outer layer of your skin

The most common side effects of QTERN include upper respiratory tract infection, urinary tract infection, and abnormal amounts of fats in the blood (dyslipidemia).

The most common side effects of FARXIGA include yeast infections of the vagina or penis, and changes in urination, including urgent need to urinate more often, in larger amounts, or at night.

What should I tell my health care provider before taking QTERN or FARXIGA?

Before you take QTERN or FARXIGA, tell your health care provider:

  • all of your medical conditions, including problems with your kidneys, liver, bladder, heart or pancreas
  • if you have had, or have risk factors for, ketoacidosis (including type 1 diabetes, are eating less due to illness, surgery, or a change in your diet, are going to have surgery, or binge drink)
  • if you are pregnant, or plan to become pregnant. QTERN or FARXIGA may harm your unborn baby
  • if you are breastfeeding or plan to breastfeed. It is unknown if QTERN or FARXIGA passes into your breast milk. Breastfeeding is not recommended while taking QTERN
  • about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements

QTERN is a prescription medicine that contains dapagliflozin and saxagliptin. QTERN is used with diet and exercise to improve blood sugar (glucose) control in adults with type 2 diabetes.

FARXIGA (dapagliflozin) is a prescription medicine used along with diet and exercise to lower blood sugar in adults with type 2 diabetes.

QTERN and FARXIGA are not for people with type 1 diabetes or people with diabetic ketoacidosis (increased ketones in your blood or urine).

Please see US Full Prescribing Information and Medication Guide for QTERN and FARXIGA.

You may report side effects related to AstraZeneca products by clicking here.