Ans:  The doctor will prescribe the Javunia after assessing your current health condition and blood glucose levels. The dosage will be decided based on the intake of other medications as well.  Periodic blood tests are conducted to understand the impact of glucose levels on various organs in the body. If there are severe signs and symptoms of various diseases, the doctor will recommend further tests. Based on the condition of the patient, the dosage will be either increased or decreased.  If you miss a dose, you should take the drug as soon as you notice it. However, you should not take another tablet when it is time for the next dose. If you take too much of Januvia, you should consult the doctor immediately.  The requirement of the medication will change if the patient is under severe stress or trauma. If you met with an accident, the dosage adjustment should be done in consultation with the doctor. Fever and various infections will also have an impact on your health.  You should follow the prescribed diet while taking Januvia.  Check your blood sugar levels as per the suggestion of the doctor.  Read the safety information on the label before using the medication.