Empaglifozen and keto diets

HSSS said:

We live and learn

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An update on this is that the dip tests are still high. I stopped the Empaglifozen with the last one on Friday. Non on Saturday or today.

Ketones wee strips were 8 all day yesterday, 06.01.24 and I ate 120g carb.
Today, dip rest after waking, was off the chart, at least 16 the nurse did say don't test overnight and test after eating. I had breakfast toast et al with 37g carb which is more than any whole day previous. Pre eating BG was 6.2.

2 hours later, BG 7.3, Ketones 8.
Had 2 slices of bread, 27g carb plus 150g of dry spaghetti with 111.2g carb.

In Costa now with 2 Flat Whites at 29g carb.
Going to test in 4 hours and if BG or Ketones not good I'm going to ring 111 and ask fir advice and a blood finger prick ketone test.

The sad part for me is that I've maintained this weight of 119kg for over 2, possibly 3 years. When I qabt to get fitter all this **** happens. Atheist I'm off one drug now.

HSSS said:

How are you testing ketones? Do you have an alternative?

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I use the Ketostix brand of reagent strips and this tube of sticks are brand new. Having said that I have just checked the date of the last tube and the new one opened a few days ago and both have an expiry dare of 31.08.2025.
I really never thought of this so thank you.
I have been looking to get a ketone blood testing kit but no money just now.

I have just tested with a dip stick and the ketones are, tonight only 1.5. Yay in one way as the overdose on carbs have worked but I bet I've put 3 lb on tomorrow.lol.

I'll continue the saga tomorrow but for tonight thank you.

EllieM said:

I was just wondering if the pee sticks were out of date....
No keto symptoms and consistently high levels even after reintroducing carbs and dropping the flozin?
Do you have a friend or relative that could use the sticks to see if they are working properly for others?

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I've somehow answered your question in Hsss 's post above but I will buy another set from a different chemist to check the expiry date.

Thank you for your help.

Update here:

Raised my carbs to 30g / day and stopped the Emplafiglozin 9 days ago on my nurses advice.

Ketone dip sticks are now 0.5 to 1.5 mmol virtually consistent unless I go less than 20g carb per day then dipsticks go to 4mmol.

Waking BG before meds of 1000 metaformin and 100 Smitigliptin are between 7.0 and 7.4.

4 hours after meds BG is around 6.2 to 6.4.
I've only lost about 3 lb this year (14 days) but that works out at around 5.5 stone in 1 year.

Thank you everyone who helped, advised and kept me on track with this over the last fortnight.

Alan.