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Before Janumet I've been using Byetta for a year now for my Type 2 diabetes. I also had to observe a tight diet in order not to grow too big. But then I decided to change something in my treatment and my family doctor put me on Janumet. The difference is significant - no more dizziness in the morning, no uncontrollable weight gaining. My sugar numbers stay under 120 - usually in the 100-115 range. I've had no side effects from Janumet, unlike with Byetta. Hate to say it but you have to exercise a lot if you want to keep feet no matter what diabetes medication you take.