(BPT) - Summertime often brings fun family vacations and outings with friends, but with change in routine, it can also be more difficult to keep your health on track. An online survey conducted among 508 US adults aged 18+ with type 2 diabetes in February 2018 found more than half of adults with type 2 diabetes believe it is difficult to maintain a healthy diet and get the recommended levels of exercise (52% and 59%, respectively).
Former professional football player and national sports talk show host Mike Golic follows these tips for staying healthy with the help of his diabetes support team:
- Work with your support team to stay on track. Part of Mike’s diabetes management plan includes designating people like his wife Chris as his team’s captain, his children as his teammates, and his doctor as his head coach. Set a game plan that includes staying active, eating healthy, and working with your doctor to manage type 2 diabetes.
- Plan ahead when it comes to meals. Whether Mike and Chris are heading to a cookout or a picnic lunch, it helps to plan ahead to ensure they have healthy options. Having a go-to favorite in mind, like Buffalo Chicken Salad, can help save time and make the meal selection and preparation process much easier.
- Stay hydrated. Mike knows staying hydrated is an important part of staying healthy every day—especially when he is physically active and in hot weather. He is sure to drink plenty of water before, during, and after exercising. There are a variety of different ways to hydrate for your active life.
- Exercise with a partner — or even your pet. The American Diabetes Association recommends 30 minutes of moderate-to-vigorous intensity aerobic exercise at least 5 days a week. Two-thirds of adults with type 2 diabetes (67%) stay active regularly. Varying the types of exercise can help. Mike’s workout plan often includes exercising with Chris and going on walks with his three dogs. To switch up your regular walk, try incorporating dynamic moves such as walking lunges and squats shown in this walking-partner workout. Before any physical activity, be sure to talk to your doctor.
- Feel confident in your numbers. To help Mike manage his type 2 diabetes, Mike’s doctor prescribes INVOKANA® (canagliflozin). INVOKANA® has been taken by over 1.5 million people since launch and counting to help lower their blood sugar (A1C). Mike likes to take his diabetes numbers as a challenge, and says between doctor’s checkups, “I physically put my numbers somewhere, look at them, and say ‘Next time, this is going to be better!’” INVOKANA® helps Mike to feel confident about his numbers and is an important part of the game plan that he created with his doctor. Learn more about Mike’s tips at ICanImagine.com.
INVOKANA® is a once-daily pill used along with diet and exercise to lower blood sugar in adults with type 2 diabetes. In most clinical trials, the majority of people taking INVOKANA® reached an A1C goal of less than 7.0 percent, which is recommended by the American Diabetes Association. INVOKANA® is not for weight loss, but may help people lose weight — on average 2-3 percent. INVOKANA® was also shown in clinical trials to reduce systolic blood pressure (on average 3-5 mmHg), though it is not indicated as a blood pressure medication. Results may vary by dose and when used alone or with certain other diabetes medications. INVOKANA® may increase a person’s risk of lower-limb amputations. The most common side effects of INVOKANA® include genital yeast infections, urinary tract infection, and changes in urination. These specific adverse events were generally mild to moderate in intensity in clinical studies.
Visit INVOKANA.com for more information, and planning and motivation tips. Find enjoyable ways to stay active and browse diabetes-friendly recipes to help stay healthy this summer.
WHAT IS INVOKANA®?
INVOKANA® is a prescription medicine used along with diet and exercise to lower blood sugar in adults with type 2 diabetes. INVOKANA® is not for people with type 1 diabetes or with diabetic ketoacidosis (increased ketones in blood or urine). It is not known if INVOKANA® is safe and effective in children under 18 years of age.
IMPORTANT SAFETY INFORMATION
INVOKANA® can cause important side effects, including:
- Amputations. INVOKANA® may increase your risk of lower-limb amputations. Amputations mainly involve removal of the toe or part of the foot; however, amputations involving the leg, below and above the knee, have also occurred. Some people had more than one amputation, some on both sides of the body. You may be at a higher risk of lower-limb amputation if you: have a history of amputation, have heart disease or are at risk for heart disease, have had blocked or narrowed blood vessels (usually in leg), have damage to the nerves (neuropathy) in the leg, or have had diabetic foot ulcers or sores. Call your doctor right away if you have new pain or tenderness, any sores, ulcers, or infections in your leg or foot. Your doctor may decide to stop your INVOKANA® for a while if you have any of these signs or symptoms. Talk to your doctor about proper foot care
- Dehydration. INVOKANA® can cause some people to become dehydrated (the loss of too much body water), which may cause you to feel dizzy, faint, lightheaded, or weak, especially when you stand up (orthostatic hypotension). You may be at higher risk of dehydration if you have low blood pressure, take medicines to lower your blood pressure (including diuretics [water pills]), are on a low sodium (salt) diet, have kidney problems, or are 65 years of age or older
- Vaginal yeast infection. Women who take INVOKANA® may get vaginal yeast infections. Symptoms include: vaginal odor, white or yellowish vaginal discharge (discharge may be lumpy or look like cottage cheese), or vaginal itching
- Yeast infection of the penis (balanitis or balanoposthitis). Men who take INVOKANA® may get a yeast infection of the skin around the penis. Symptoms include: redness, itching, or swelling of the penis; rash of the penis; foul-smelling discharge from the penis; or pain in the skin around penis
Talk to your doctor about what to do if you get symptoms of a yeast infection of the vagina or penis.
Do not take INVOKANA® if you:
- are allergic to canagliflozin or any of the ingredients in INVOKANA®. Symptoms of allergic reaction may include: rash; raised red patches on your skin (hives); or swelling of the face, lips, tongue, and throat that may cause difficulty in breathing or swallowing
- have severe kidney problems or are on dialysis
Before you take INVOKANA®, tell your doctor if you have a history of amputation; heart disease or are at risk for heart disease; blocked or narrowed blood vessels (usually in leg); damage to the nerves (neuropathy) of your leg; diabetic foot ulcers or sores; kidney problems; liver problems; history of urinary tract infections or problems with urination; are on a low sodium (salt) diet; are going to have surgery; are eating less due to illness, surgery, or change in diet; pancreas problems; drink alcohol very often (or drink a lot of alcohol in short-term); ever had an allergic reaction to INVOKANA®; or have other medical conditions.
Tell your doctor if you are or plan to become pregnant, are breastfeeding, or plan to breastfeed. INVOKANA® may harm your unborn baby. If you become pregnant while taking INVOKANA®, tell your doctor right away. INVOKANA® may pass into your breast milk and may harm your baby. Do not breastfeed while taking INVOKANA®.
Tell your doctor about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. Especially tell your doctor if you take diuretics (water pills), rifampin (used to treat or prevent tuberculosis), phenytoin or phenobarbital (used to control seizures), ritonavir (Norvir®, Kaletra® — used to treat HIV infection), or digoxin (Lanoxin® — used to treat heart problems).
Possible Side Effects of INVOKANA®
INVOKANA® may cause serious side effects, including:
- Ketoacidosis (increased ketones in your blood or urine). Ketoacidosis has happened in people who have type 1 or type 2 diabetes, during treatment with INVOKANA®. Ketoacidosis is a serious condition, which may need to be treated in a hospital. Ketoacidosis may lead to death. Ketoacidosis can happen with INVOKANA® even if your blood sugar is less than 250 mg/dL. Stop taking INVOKANA® and call your doctor right away if you get any of the following symptoms: nausea, vomiting, stomach-area pain, tiredness, or trouble breathing
- Kidney problems. Sudden kidney injury has happened to people taking INVOKANA®. Talk to your doctor right away if you: 1) reduce the amount of food or liquid you drink, if you are sick, or cannot eat or 2) you start to lose liquids from your body from vomiting, diarrhea, or being in the sun too long
- A high amount of potassium in your blood (hyperkalemia)
- Serious Urinary Tract Infections: may lead to hospitalization and have happened in people taking INVOKANA®. Tell your doctor if you have signs or symptoms of a urinary tract infection such as: burning feeling while urinating, need to urinate often or right away, pain in the lower part of your stomach (pelvis), or blood in the urine. Some people may also have high fever, back pain, nausea, or vomiting
- Low blood sugar (hypoglycemia). If you take INVOKANA® with another medicine that can cause low blood sugar, such as a sulfonylurea or insulin, your risk of getting low blood sugar is higher. The dose of your sulfonylurea medicine or insulin may need to be lowered while you take INVOKANA®
Signs and symptoms of low blood sugar may include: headache, drowsiness, weakness, dizziness, confusion, irritability, hunger, fast heartbeat, sweating, shaking, or feeling jittery.
Serious allergic reaction. If you have any symptoms of a serious allergic reaction, stop taking INVOKANA® and call your doctor right away or go to the nearest hospital emergency room.
Broken Bones (fractures): Bone fractures have been seen in patients taking INVOKANA®. Talk to your doctor about factors that may increase your risk of bone fracture.
The most common side effects of INVOKANA® include: vaginal yeast infections and yeast infections of the penis; changes in urination, including urgent need to urinate more often, in larger amounts, or at night.
Tell your doctor if you have any side effect that bothers you or that does not go away. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects to Janssen Scientific Affairs, LLC at 1-800-526-7736.
Canagliflozin is licensed from Mitsubishi Tanabe Pharma Corporation. Trademarks are those of their respective owners.
 Statistic based on an online survey conducted by The Harris Poll on behalf of Janssen Pharmaceuticals, Inc., in February 2018 among 508 US adults aged 18+ with type 2 diabetes. Figures for age, sex, education, income, race/ethnicity, and size of household were weighted to bring them into line with their actual proportions in the population.