The primary mechanism of action of Exenatide, as an incretin mimetic hormone or an analog of human glucagon-like peptide-1, is to increase insulin secretion when glucose levels are elevated, decrease glucagon secretion, and delay gastric emptying to lower postprandial glucose levels.

Your doctor may prescribe this drug as an additional medicine to help control your blood sugar.
Continue to follow your food and exercise plan.

Before you use the pen for the first time, your doctor or nurse will show you how to use the pen
You can use Exenatide at any time of the day, with or without food and drink.
Use Exenatide at about the same time each day – choose a time of the day that works best for you.
The best places to inject are the front of your waist (abdomen), the front of your thighs, or your upper arm.
Do not inject into a vein or muscle.
Do not mix Exenatide up with other medicines that you inject (e.g. insulins).
Do not use Exenatide in combination with other medicines that contain GLP-1 receptor agonists.
Your treatment will start at a low dose which will be gradually increased.
Your doctor will assess your treatment regularly.
Doses may be changed in special conditions so always follow your doctor's or pharmacist's instructions.
If you take more than you should, talk to a doctor or go to the hospital straight away.
If you forget to take a dose, take it as soon as you remember it unless it is nearly time for your next dose.
Do not take a double dose (two doses at the same time) to make up for the forgotten dose.

Although the following side effects are not common in everyone, some patients may complain from:

Swelling of the face, tongue or throat (angioedema)
Rashes, itching and rapid swelling of the tissues of the neck, face, mouth or throat
Difficulty to swallow
Hives and difficulties to breathe

If you are pregnant or breastfeeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
Your doctor will discuss the possible risks and benefits of using this medicine during pregnancy and breast-feeding

All carbohydrates affect blood glucose levels so it’s important to know which foods contain carbohydrates. Choose the healthier foods that contain carbs and be aware of your portion sizes.
Eat less salt. Eating lots of salt can increase your risk of high blood pressure, which in turn increases the risk of heart diseases and stroke. And when you have diabetes, you’re already more at risk of all of these conditions.
Eat more fruit and vegetables. This can help you get the vitamins, minerals, and fiber your body needs every day to help keep you healthy.
You can always try low or zero-calorie sweeteners (also known as artificial sweeteners) to help you cut down sugar for example Steviana Sweetener or Tropicana Slim Sweetener
Don’t forget to keep moving. Being more physically active goes hand in hand with eating healthier.
Remember to measure your blood glucose level continuously by using home monitor like Accu-Check, Instant, Blood Glucose Monitor
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If you experience symptoms of hypoglycemia such as weakness, dizziness, increased sweating, fast heart beating, vision disorders, or difficulty in concentration, it usually helps to eat or drink something containing sugar.

have severe heart failure
are 75 years or older
have kidney disease or are on dialysis
have liver problems
have a severe stomach or gut problem which results in delayed stomach emptying (called
gastroparesis), or if you have an inflammatory bowel disease.
have diabetes, do not use Exenatide as a replacement for insulin
have or have had a disease of the pancreas

Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medications including over-the-counter non-prescription medicines, prescription medicines, herbal supplements, vitamins, and supplements.

store in a refrigerator (2°c – 8°c)
Keep this medicine out of the sight and reach of children.
Store in the original package to protect from moisture.
Do not use this medicine after the expiry date which is stated on the box/blisters/label. The expiry date refers to the last day of the month.

Random blood sugar test: A blood sample will be taken at a random time. Regardless of when you last ate, a blood sugar level of 200 milligrams per deciliter (mg/dL) or higher suggests diabetes. A blood sugar level of less than 140 mg/dL is normal. A reading between 140 and 199 mg/dL indicates prediabetes
Fasting blood sugar test. A blood sample will be taken after an overnight fast. A fasting blood sugar level of less than 100 mg/dl is normal. A fasting blood sugar level from 100 to 125 mg/dL is considered prediabetes. If it's 126 mg/dL or higher on two separate tests, you may have diabetes.
Oral glucose tolerance test: For this test, you fast overnight, and the fasting blood sugar level is measured. Then you drink a sugary liquid, and blood sugar levels are tested periodically for the next two hours.

Byetta, Exenatide 5 Mcg, Pre-Filled Pen - 1 Pen

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