3 Tips for Planning Your Next Doctor’s Visit

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(BPT) – <span xml:lang=”EN-US” lang=”EN-US”>It was nearly t<span xml:lang=”EN-US” lang=”EN-US”>en years ago <span xml:lang=”EN-US” lang=”EN-US”>that <span xml:lang=”EN-US” lang=”EN-US”>Sherry recalls <span xml:lang=”EN-US” lang=”EN-US”>she just didn’t feel like herself.</span></span></span></span></span>

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<span xml:lang=”EN-US” lang=”EN-US”>“I love<span xml:lang=”EN-US” lang=”EN-US”>d <span xml:lang=”EN-US” lang=”EN-US”>travelling, swimming<span xml:lang=”EN-US” lang=”EN-US”>, <span xml:lang=”EN-US” lang=”EN-US”>and snorkeling,” she <span xml:lang=”EN-US” lang=”EN-US”>says<span xml:lang=”EN-US” lang=”EN-US”>. “But I was so tired, I would come home and drop. I felt like a wet mop.”</span></span></span></span></span></span></span>

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<span xml:lang=”EN-US” lang=”EN-US”>So, when Sherry went to her doctor and was diagnosed with type 2 diabetes, <span xml:lang=”EN-US” lang=”EN-US”>she knew <span xml:lang=”EN-US” lang=”EN-US”>it was time <span xml:lang=”EN-US” lang=”EN-US”>to take control of her health<span xml:lang=”EN-US” lang=”EN-US”>. <span xml:lang=”EN-US” lang=”EN-US”>She <span xml:lang=”EN-US” lang=”EN-US”>decided <span xml:lang=”EN-US” lang=”EN-US”>to work closely with her healthcare team and lean on <span xml:lang=”EN-US” lang=”EN-US”>her family and friends <span xml:lang=”EN-US” lang=”EN-US”>for support<span xml:lang=”EN-US” lang=”EN-US”>. <span xml:lang=”EN-US” lang=”EN-US”>Together <span xml:lang=”EN-US” lang=”EN-US”>with her doctor, <span xml:lang=”EN-US” lang=”EN-US”>she <span xml:lang=”EN-US” lang=”EN-US”>ma<span xml:lang=”EN-US” lang=”EN-US”>d<span xml:lang=”EN-US” lang=”EN-US”>e a <span xml:lang=”EN-US” lang=”EN-US”>plan to help her manage type <span xml:lang=”EN-US” lang=”EN-US”>2 diabetes <span xml:lang=”EN-US” lang=”EN-US”>and <span xml:lang=”EN-US” lang=”EN-US”>find <span xml:lang=”EN-US” lang=”EN-US”>ways to <span xml:lang=”EN-US” lang=”EN-US”>start enjoying some of <span xml:lang=”EN-US” lang=”EN-US”>her favorite activities <span xml:lang=”EN-US” lang=”EN-US”>again<span xml:lang=”EN-US” lang=”EN-US”>.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span>

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<span xml:lang=”EN-US” lang=”EN-US”>Sherry knows that d<span xml:lang=”EN-US” lang=”EN-US”>octor’s visits are <span xml:lang=”EN-US” lang=”EN-US”>essential <span xml:lang=”EN-US” lang=”EN-US”>to <span xml:lang=”EN-US” lang=”EN-US”>effectively <span xml:lang=”EN-US” lang=”EN-US”>manag<span xml:lang=”EN-US” lang=”EN-US”>e <span xml:lang=”EN-US” lang=”EN-US”>type <span xml:lang=”EN-US” lang=”EN-US”>2 diabetes<span xml:lang=”EN-US” lang=”EN-US”>. H<span xml:lang=”EN-US” lang=”EN-US”>ere are <span xml:lang=”EN-US” lang=”EN-US”>a few <span xml:lang=”EN-US” lang=”EN-US”>of her <span xml:lang=”EN-US” lang=”EN-US”>suggestions on how you can <span xml:lang=”EN-US” lang=”EN-US”>mak<span xml:lang=”EN-US” lang=”EN-US”>e the most of each appointment:</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span>

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<span xml:lang=”EN-US” lang=”EN-US”><strong>Come prepared.</strong> <span xml:lang=”EN-US” lang=”EN-US”><span xml:lang=”EN-US” lang=”EN-US”>A<span xml:lang=”EN-US” lang=”EN-US”>lways come ready with updates on your <span xml:lang=”EN-US” lang=”EN-US”>health <span xml:lang=”EN-US” lang=”EN-US”>and questions for your doctor. <span xml:lang=”EN-US” lang=”EN-US”>He or she <span xml:lang=”EN-US” lang=”EN-US”>will want to know about any changes in your health, or any symptoms you may be experiencing, so that <span xml:lang=”EN-US” lang=”EN-US”>the two of you <span xml:lang=”EN-US” lang=”EN-US”>can help develop a <span xml:lang=”EN-US” lang=”EN-US”>type 2 diabetes management <span xml:lang=”EN-US” lang=”EN-US”>plan <span xml:lang=”EN-US” lang=”EN-US”><span xml:lang=”EN-US” lang=”EN-US”>that will help you <span xml:lang=”EN-US” lang=”EN-US”>stay healthy. <span xml:lang=”EN-US” lang=”EN-US”>You can even <span xml:lang=”EN-US” lang=”EN-US”>create a personalized type 2 diabetes discussion <span xml:lang=”EN-US” lang=”EN-US”>guide <span xml:lang=”EN-US” lang=”EN-US”>with questions to ask at your next appointment and tips to help you achieve your goals at <a href=”http://www.icanimagine.com/” target=”_blank” rel=”noopener noreferrer”><span xml:lang=”EN-US” lang=”EN-US”>ICanImagine.com</span></a><span xml:lang=”EN-US” lang=”EN-US”>.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span>

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<span xml:lang=”EN-US” lang=”EN-US”><strong>Advocate for yourself.</strong> <span xml:lang=”EN-US” lang=”EN-US”>Better communicat<span xml:lang=”EN-US” lang=”EN-US”>ion can lead to better <span xml:lang=”EN-US” lang=”EN-US”>health <span xml:lang=”EN-US” lang=”EN-US”>outcomes, and n<span xml:lang=”EN-US” lang=”EN-US”>obody can advocate for your health <span xml:lang=”EN-US” lang=”EN-US”>better than <span xml:lang=”EN-US” lang=”EN-US”>you can<span xml:lang=”EN-US” lang=”EN-US”>. <span xml:lang=”EN-US” lang=”EN-US”>If your <span xml:lang=”EN-US” lang=”EN-US”>plan is<span xml:lang=”EN-US” lang=”EN-US”>n’t <span xml:lang=”EN-US” lang=”EN-US”>working, speak up. You and your doctor can work together to make changes.</span></span></span></span></span></span></span></span></span></span></span></span></span>

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<span xml:lang=”EN-US” lang=”EN-US”><strong>Celebrate your progress.</strong> <span xml:lang=”EN-US” lang=”EN-US”>Let your doctor know when things are going well, too. <span xml:lang=”EN-US” lang=”EN-US”>Share your improvements<span xml:lang=”EN-US” lang=”EN-US”>—<span xml:lang=”EN-US” lang=”EN-US”>big or small<span xml:lang=”EN-US” lang=”EN-US”>—<span xml:lang=”EN-US” lang=”EN-US”>with your healthcare team <span xml:lang=”EN-US” lang=”EN-US”>and your <span xml:lang=”EN-US” lang=”EN-US”>family and friends<span xml:lang=”EN-US” lang=”EN-US”>. It’s <span xml:lang=”EN-US” lang=”EN-US”>a great way to stay motivated and <span xml:lang=”EN-US” lang=”EN-US”>appreciate <span xml:lang=”EN-US” lang=”EN-US”>successes.</span></span></span></span></span></span></span></span></span></span></span></span></span>

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<span xml:lang=”EN-US” lang=”EN-US”>“<span xml:lang=”EN-US” lang=”EN-US”>I was inspired to speak with my doctor to get a treatment plan that wou<span xml:lang=”EN-US” lang=”EN-US”>ld suit me and make me feel better,” says Sherry. <span xml:lang=”EN-US” lang=”EN-US”>“<span xml:lang=”EN-US” lang=”EN-US”>Together we created a plan that includes <span xml:lang=”EN-US” lang=”EN-US”>diet, exercise, and treatment with I<span xml:lang=”EN-US” lang=”EN-US”>NVOKANA<sup>®</sup> <span xml:lang=”EN-US” lang=”EN-US”>(canagliflozin), which helps lower <span xml:lang=”EN-US” lang=”EN-US”>my blood sugar. Now, I <span xml:lang=”EN-US” lang=”EN-US”>feel empowered and in <span xml:lang=”EN-US” lang=”EN-US”><span xml:lang=”EN-US” lang=”EN-US”>control of my health.”</span></span></span></span></span></span></span></span></span></span></span></span>

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<span xml:lang=”EN-US” lang=”EN-US”>INVOKANA<sup>®</sup> is a once-daily pill used along with diet and exercise to help lower blood sugar in adults with type <span xml:lang=”EN-US” lang=”EN-US”>2 diabetes<span xml:lang=”EN-US” lang=”EN-US”>. In most clinical trials, the majority of people taking INVOKANA<sup>®</sup> reached an A1C goal of less than 7.0 <span xml:lang=”EN-US” lang=”EN-US”>percent<span xml:lang=”EN-US” lang=”EN-US”>, <span xml:lang=”EN-US” lang=”EN-US”>which is <span xml:lang=”EN-US” lang=”EN-US”>recommended by the American Diabetes Association. INVOKANA<sup>®</sup> is not for <span xml:lang=”EN-US” lang=”EN-US”>weight loss, but may help people lose weight—on average <span xml:lang=”EN-US” lang=”EN-US”>2-<span xml:lang=”EN-US” lang=”EN-US”>3 percent. INVOKANA<sup>®</sup> was also shown in clinical trials to reduce systolic blood pressure <span xml:lang=”EN-US” lang=”EN-US”>(on average 3-5 mmHg)<span xml:lang=”EN-US” lang=”EN-US”>, though it is not a blood pressure medicine. <span xml:lang=”EN-US” lang=”EN-US”><span xml:lang=”EN-US” lang=”EN-US”><span xml:lang=”EN-US” lang=”EN-US”><span xml:lang=”EN-US” lang=”EN-US”><span xml:lang=”EN-US” lang=”EN-US”><span xml:lang=”EN-US” lang=”EN-US”><span xml:lang=”EN-US” lang=”EN-US”><span xml:lang=”EN-US” lang=”EN-US”><span xml:lang=”EN-US” lang=”EN-US”><span xml:lang=”EN-US” lang=”EN-US”><span xml:lang=”EN-US” lang=”EN-US”><span xml:lang=”EN-US” lang=”EN-US”><span xml:lang=”EN-US” lang=”EN-US”><span xml:lang=”EN-US” lang=”EN-US”><span xml:lang=”EN-US” lang=”EN-US”>Results may vary by dose and when used alone or with certain other diabetes medications. <span xml:lang=”EN-US” lang=”EN-US”>The most common side effects of INVOKANA<sup>®</sup> include genital yeast infections, urinary tract infection, and changes in urination. <span xml:lang=”EN-US” lang=”EN-US”><span data-fontsize=”11″><span xml:lang=”EN-US” lang=”EN-US”>These specific adverse events were generally mild to moderate in intensity in clinical studies.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span>

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<span xml:lang=”EN-US” lang=”EN-US”>At <a href=”https://www.icanimagine.com/” target=”_blank” rel=”noopener noreferrer”><span xml:lang=”EN-US” lang=”EN-US”>ICanImagine.com</span></a><span xml:lang=”EN-US” lang=”EN-US”>, you can l<span xml:lang=”EN-US” lang=”EN-US”>earn more about <span xml:lang=”EN-US” lang=”EN-US”>Sherry<span xml:lang=”EN-US” lang=”EN-US”>’s health journey <span xml:lang=”EN-US” lang=”EN-US”>and get <span xml:lang=”EN-US” lang=”EN-US”>useful tips <span xml:lang=”EN-US” lang=”EN-US”><span xml:lang=”EN-US” lang=”EN-US”>from experts <span xml:lang=”EN-US” lang=”EN-US”>to help you <span xml:lang=”EN-US” lang=”EN-US”>take control<span xml:lang=”EN-US” lang=”EN-US”>. One way <span xml:lang=”EN-US” lang=”EN-US”>you can <span xml:lang=”EN-US” lang=”EN-US”>get started <span xml:lang=”EN-US” lang=”EN-US”>is by creating a <span xml:lang=”EN-US” lang=”EN-US”>personalized discussion guide to make the most of <span xml:lang=”EN-US” lang=”EN-US”>your <span xml:lang=”EN-US” lang=”EN-US”>next doctor’s appointment. Crafted in collaboration with Certified Diabetes Educators, the guide includes customized questions <span xml:lang=”EN-US” lang=”EN-US”><span xml:lang=”EN-US” lang=”EN-US”>and information to help you <span xml:lang=”EN-US” lang=”EN-US”>speak up, stay on track<span xml:lang=”EN-US” lang=”EN-US”>, <span xml:lang=”EN-US” lang=”EN-US”>and imagine loving your numbers.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span>

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<strong>WHAT IS INVOKANA<sup>®</sup>?</strong>

INVOKANA<sup>®</sup> is a prescription medicine used along with diet and exercise to lower blood sugar in adults with type 2 diabetes. INVOKANA<sup>®</sup> is not for people with type 1 diabetes or with diabetic ketoacidosis (increased ketones in blood or urine). It is not known if INVOKANA<sup>®</sup> is safe and effective in children under 18 years of age.

<strong>IMPORTANT SAFETY INFORMATION</strong>

<strong>INVOKANA<sup>®</sup> can cause important side effects, including:</strong>

<ul><li><strong>Amputations. INVOKANA<sup>®</sup> may increase your risk of lower-limb amputations.</strong> <strong>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.</strong> 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<strong>. Call your doctor right away if you have new pain or tenderness, any sores, ulcers, or infections in your leg or foot.</strong> Your doctor may decide to stop your INVOKANA<sup>®</sup>. Talk to your doctor about proper foot care</li></ul><ul><li><strong>Dehydration. INVOKANA<sup>®</sup> 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)</strong>. 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</li><li><strong>Vaginal yeast infection.</strong> Women who take INVOKANA<sup>®</sup> 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</li><li><strong>Yeast infection of the penis (balanitis or balanoposthitis).</strong> Men who take INVOKANA<sup>®</sup> 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</li></ul>

Talk to your doctor about what to do if you get symptoms of a yeast infection of the vagina or penis.

<strong>Do not take INVOKANA<sup>®</sup> if you:</strong>

<ul><li>are allergic to canagliflozin or any of the ingredients in INVOKANA<sup>®</sup>. 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</li><li>have severe kidney problems or are on dialysis</li></ul></div>

<strong>Before you take INVOKANA<sup>®</sup>, tell your doctor if you</strong> 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<sup>®</sup>; or have other medical conditions.

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<strong>Tell your doctor if you are or plan to become pregnant, are breastfeeding, or plan to breastfeed.</strong> INVOKANA<sup>®</sup> may harm your unborn baby. If you become pregnant while taking INVOKANA<sup>®</sup>, tell your doctor right away. INVOKANA<sup>®</sup> may pass into your breast milk and may harm your baby. Do not breastfeed while taking INVOKANA<sup>®</sup>.

<strong>Tell your doctor about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements.</strong> 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).

<strong>Possible Side Effects of INVOKANA<sup>®</sup></strong>

<strong>INVOKANA<sup>®</sup> may cause serious side effects, including</strong>:

<ul><li><strong>Ketoacidosis</strong> (increased ketones in your blood or urine). <strong>Ketoacidosis has happened in people who have type 1 or type 2 diabetes</strong>, during treatment with INVOKANA<sup>®</sup>. Ketoacidosis is a serious condition, which may need to be treated in a hospital. Ketoacidosis may lead to death. <strong>Ketoacidosis can happen with INVOKANA<sup>®</sup> even if your blood sugar is less than 250 mg/dL. Stop taking INVOKANA<sup>®</sup> and call your doctor right away if you get any of the following symptoms: nausea, vomiting, stomach-area pain, tiredness, or trouble breathing</strong></li></ul><ul><li><strong>Kidney problems.</strong> Sudden kidney injury has happened to people taking INVOKANA<sup>®</sup>. 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</li></ul><ul><li><strong>A high amount of potassium in your blood (hyperkalemia)</strong></li></ul><ul><li><strong>Serious Urinary Tract Infections:</strong> may lead to hospitalization and have happened in people taking INVOKANA<sup>®</sup>. 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</li></ul><ul><li><strong>Low blood sugar (hypoglycemia).</strong> If you take INVOKANA<sup>®</sup> 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<sup>®</sup></li></ul>

Signs and symptoms of low blood sugar may include: headache, drowsiness, weakness, dizziness, confusion, irritability, hunger, fast heartbeat, sweating, shaking, or feeling jittery.

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<strong>Serious allergic reaction.</strong> If you have any symptoms of a serious allergic reaction, stop taking INVOKANA<sup>®</sup> and call your doctor right away or go to the nearest hospital emergency room.

<strong>Broken Bones (fractures):</strong> Bone fractures have been seen in patients taking INVOKANA<sup>®</sup>. Talk to your doctor about factors that may increase your risk of bone fracture.

The most common side effects of INVOKANA<sup>®</sup> 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.

<strong>Please see full <a href=”https://www.invokana.com/sites/www.invokana-redesign.com/files/prescribing-information-invokana.pdf?v=61″ rel=”nofollow”>Product Information</a>, including Boxed Warning, and <a href=”https://www.invokana.com/sites/www.invokana-redesign.com/files/medication-guide-invokana.pdf?v=56″ rel=”nofollow”>Medication Guide</a> for INVOKANA<sup>®</sup>.</strong>

Canagliflozin is licensed from Mitsubishi Tanabe Pharma Corporation. Trademarks are those of their respective owners.

076190-170713

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