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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.
 
Keep an eye on yourself, it can take a few days to clear all the Empagliflozin from your system.

And don't get disheartened. I got ill about a week after starting my health kick. Came off the Empagliflozin. Carried on the healthy living. And lost a ton of weight since. You're already on the right track.
 
HSSS said:
How are you testing ketones? Do you have an alternative?
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I was just wondering if the pee sticks were out of date....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?
 
HSSS said:
How are you testing ketones? Do you have an alternative?
Click to expand...
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.
 
Last edited:
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?
Click to expand...
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.
 
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