[Music]
welcome to sugar and ease today we are
going to talk about medications know
your medicine series today we are going
to talk about
Victoza so why does Victoza if you're on
it that's a great time to learn about it
so it does aids our gastrointestinal
hormone what does it mean yes it is an
intentional hormone that developers
actually looked at the gastrointestinal
hormone that you make and made something
similar so why is it so important that
you take the gastrointestinal hormone
because that is the hormone that
actually allows your body to make
insulin when you eat so it makes sense
right so otherwise in type 2 diabetic
patients they eat
however this stomach does not talk to
pancreas anymore they're broken up so as
a result the Victoza reestablishes that
connection between your stomach and then
your pancreas and then next time you eat
you will start making your own insulin
so as a result it is actually a wise
thing to do or to consider before you go
to insulin three to four times a day now
there may be some downsides to Victoza
which could be if you have a history of
pancreatic cancer or medullary thyroid
cancer in your first-degree family
members you may need to take some
caution with this medication
not that it causes cancer in human
studies however in animal studies in the
initial development stage some rats
developed medullary thyroid cancer and
pancreatic cancer so you always take it
with a grain of salt and be cautious at
that point if you had pancreatitis
before there are some little reports
that the Victoza may cause pancreatitis
so how do you use with those that we
will go to the practical aspect of
Victoza
however just to summarize quickly the
starting note of Victoza
is 0.6 milligram and then after 3 to 7
days you can proceed to 1.2 milligram
and if necessary you can go all the way
to 1.8
so the pen comes in three different
doses there are some people who may not
even tolerate the smallest dose of 0.6
milligram of these those are for those
patients there are some tricks
so it means zero and 0.6 milligram there
are actually around ten clicks start
very very slowly maybe start with two
clicks initially the four clicks the
next day or you can advance every other
day that way by the time you get to 0.6
milligram is already 10 days so it gives
some time for your body to adjust to the
medication because everybody's tolerance
to medication is is different and most
of the time physicians go by the label
go by the prescribing information
however medicine is not just science
medicine is an art there are similar
medications too because us such as by
averages the first generation the first
one that came to the market and then the
Victoza is pretty much a second and then
weekly injections came to the market
which are trulicity ors empik by durian
you name it there are some other brands
out there now your physician and
yourself are the ultimate decision maker
however if you have any questions about
Victoza
feel free to ask us as well at sugar
ambience calm Victoza comes in three
different doses starting at 0.6
milligram that's your first dose and
then one point two milligram and then
one point eight on the ground every
three to five days or up to seven days
depending on your toleration you can
increase your dose the purse those is
0.6 milligram as you can see so if you
have problem with even the low spills
which is 0.6 milligram here you may want
to actually start a little bit lower
maybe couple clicks until you come to
zero point six there are actually 10
clicks between 0 and 0.6 so you can
actually count the clicks and advance
much slow it's much more slower so by
the time your
ten clicks it's going to be five days
and that's generally much more tolerable
if the next step is of course after you
dial your nose you take the cap off and
then you put your needle on and then you
basically just screw that on and take
the first cap off and then the smaller
cap off now the middle is exposed at
this point you should be ready with your
skin clean and then since the mill is
too small as they can't see you don't
have to pinch your skin and areas that
you can actually inject are these
colored areas this orange color here
under your ties around your abdomen not
around your umbilicus upper buttocks and
the back of the arms and you go directly
90 degrees push it in and then push the
plunger in and then you will see that
it's going all the way down and the
number is down to zero now and you only
have to keep it there for five to ten
seconds and then you pull it back and
then remove your pen needle make sure
you put that in that safe container with
a lid and then you can put your whip
toes up back to its place now any
insulin and Victoza and remember that
because it is not an insulin however any
pen that that you can think of should
not be refrigerated when they are in
current use you should refrigerate them
if you're not using the pen currently
for example the pens that you're going
to be using two months from now should
stay in the refrigerator however the one
that we are using on a daily basis does
not have to be refrigerated if you have
any problems with the medications side
affect the cost the dosing information
please call us at sugar emmys.com you'll
find a way to help you out
you