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Dagpagliflozin and carbs

AmandaS

Member
Messages
7
Hi,I was diagnosed type 2 diabetic years ago but have had no real information from the drs/diabetic nurse.TBH at the time I was offered to go on a course but I was, and am, housebound so couldn't attend so was just left as that. I was advised to check lables for carbohydrates and then, 'of which sugars' and it had to be 5mg or under for me to be able to eat it.
When I was diagnosed it was all about reducing sugar but as the years have gone on as you know it's also about carbs. That as diabetics were should limit our carbs.
My blood suagr wasn't very well controlled and I was also diagnosed with an overactive thyroid so was reffered to an endocrinologist and diabetes specialist (Over the telephone.). He took me off two medications and started me on Mounjaro/Tirepatide (Which I'm really pleased about and in only four weeks, my Hba1c came down from 80, to 49.). I am also taking Metformin 1g modifid release, which I have been on since the start, and just before starting the Mounjaro I was started on Candestartan 8mg, and Dapagliflozin 10mg.
I was not informed, and there is nothing on the enclosed leaflet, but I read on another forum that you are not supposed to go low carb on Dapagliflozin? I googled and it said not too. However, I don't know how many carbs a day I should be having if that's the case? I'm really confussed what I should be eating! Any advice would be very welcome. I don't want to start eating too many carbs and my Hba1c go up again.
 
Hi KennyA, many thanks for your reply. I did some Googling this morning and it said that I should eat between 130-200g of carbs a day. I shall try and get in touch with the diabetes nurse at my local surgrey to just check. If and when I get an appointment, and with the outcome, I will come back to let you know. Thanks again.
 
The rare but potentially very serious side-effect is euglycemic DKA ie DKA at normal BG levels which may not be recognised quickly.

See 1.21 in @KennyA 's link. DKA should be mentioned on the PIL.
 
Dapaglflozin pushes the sugars into your urine so if you don't eat enough carbs you can get too low. If my daughter had meat and salad for dinner, she would be low and feel ill by morning. A carby pudding balances the meal for her.
 
Thanks so much emmakate. I tried to make an appointment with the diabetes nurse today but she wasn't available till the end of September. The receptionist was very nice and sent me a econsult to fill out and I now have a dr calling this Wednesday afternoon.
 
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