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<blockquote data-quote="ianf0ster" data-source="post: 2486970" data-attributes="member: 506169"><p>Hi [USER=552414]@Blackwater5[/USER] I don't have any knowledge of your autoimune problem.</p><p>An HbA1C of 47 is below the threshold for Type 2 diabetes (which is only diagnosed at a reading of 48 or more). Even now at 55 you are only a little way into the T2 Diabetic range unlike other members who are diagnose with HbA1C's of 100 or more!</p><p></p><p>Since you are currently still needing/taking the steroids, they may well be raising your Blood Glucose at present. </p><p>The main things you can't control which raise Blood Glucose are: Infection, Injury, medication such as Statins and Steroids, Stress, Lack of Sleep.</p><p></p><p>I have read a fair bit about SGLT-2 inhibitors including reports from other members who have taken them.</p><p>They are usually prescribed for obese/overweight people who can't control their Blood Glucose by lifestyle and/or by Metformin.</p><p>I don't understand why you/your Doctor are talking about SGLT-2 meds and Insulin if your HbA1C is only 55 and your BMI is low.</p><p></p><p>It also seems unlikely that diabetes complications ( in this case just plain old ultra high Blood Glucose) could have caused your weight loss when (if the HbA1C of 55 is to be believed) yours has never been nearly high enough to suffer that symptom.</p><p></p><p>Ketoacidosis is where you are unable to properly use the energy in your blood stream (both Glucose and Ketones. It's rare in Type 2's, much more common in previously undiagnosed Type 1's. I agree that ketoacidosis is listed on the risks and side effects, but logically I don't understand how an SGLT-2 inhibitor could cause ketoacidosis. </p><p>SGLT-2's in general don't affect the liver, they affect the kidneys, preventing them re-absorbing glucose from the blood stream with the effect that instead you just pee it out in your urine. Thus the most common side effects complained of (especially by women) are Urinary Tract Infections and yeast infection.</p><p>It's strange that you were told that Hypo's are impossible due to SGLT-2's since hypoglycemia is one of the main listed potential risks, though it isn't a common problem.</p><p><a href="https://www.healthline.com/health/type-2-diabetes/sglt2-inhibitors" target="_blank">https://www.healthline.com/health/type-2-diabetes/sglt2-inhibitors</a></p><p></p><p></p><p>Low Carb does tend to have the effect of weight loss, but not usually to the point of being actually underweight. Usually when people want to stop losing weight on low carb they A). Eat more protein and more fat e.g. nuts provide both as do eggs and cheese. Or if their BG is low enough to support it, they add back a little more carbs into their diet. Subject to no meal spiking their BG by more than 2.0 mmol at 2hrs after the 1st bite </p><p></p><p>Is it gallbladder or bile problems that mean you think your body can't handle fat? Some members with no gallbladder find they can handle fat fine so long as they don't eat too much of it at the same time.</p></blockquote><p></p>
[QUOTE="ianf0ster, post: 2486970, member: 506169"] Hi [USER=552414]@Blackwater5[/USER] I don't have any knowledge of your autoimune problem. An HbA1C of 47 is below the threshold for Type 2 diabetes (which is only diagnosed at a reading of 48 or more). Even now at 55 you are only a little way into the T2 Diabetic range unlike other members who are diagnose with HbA1C's of 100 or more! Since you are currently still needing/taking the steroids, they may well be raising your Blood Glucose at present. The main things you can't control which raise Blood Glucose are: Infection, Injury, medication such as Statins and Steroids, Stress, Lack of Sleep. I have read a fair bit about SGLT-2 inhibitors including reports from other members who have taken them. They are usually prescribed for obese/overweight people who can't control their Blood Glucose by lifestyle and/or by Metformin. I don't understand why you/your Doctor are talking about SGLT-2 meds and Insulin if your HbA1C is only 55 and your BMI is low. It also seems unlikely that diabetes complications ( in this case just plain old ultra high Blood Glucose) could have caused your weight loss when (if the HbA1C of 55 is to be believed) yours has never been nearly high enough to suffer that symptom. Ketoacidosis is where you are unable to properly use the energy in your blood stream (both Glucose and Ketones. It's rare in Type 2's, much more common in previously undiagnosed Type 1's. I agree that ketoacidosis is listed on the risks and side effects, but logically I don't understand how an SGLT-2 inhibitor could cause ketoacidosis. SGLT-2's in general don't affect the liver, they affect the kidneys, preventing them re-absorbing glucose from the blood stream with the effect that instead you just pee it out in your urine. Thus the most common side effects complained of (especially by women) are Urinary Tract Infections and yeast infection. It's strange that you were told that Hypo's are impossible due to SGLT-2's since hypoglycemia is one of the main listed potential risks, though it isn't a common problem. [URL]https://www.healthline.com/health/type-2-diabetes/sglt2-inhibitors[/URL] Low Carb does tend to have the effect of weight loss, but not usually to the point of being actually underweight. Usually when people want to stop losing weight on low carb they A). Eat more protein and more fat e.g. nuts provide both as do eggs and cheese. Or if their BG is low enough to support it, they add back a little more carbs into their diet. Subject to no meal spiking their BG by more than 2.0 mmol at 2hrs after the 1st bite Is it gallbladder or bile problems that mean you think your body can't handle fat? Some members with no gallbladder find they can handle fat fine so long as they don't eat too much of it at the same time. [/QUOTE]
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