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Low carb and empagliflozin
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<blockquote data-quote="Oldvatr" data-source="post: 2440780" data-attributes="member: 196898"><p>Here is a more detailed study of eu-DKA</p><p><a href="https://journals.lww.com/md-journal/fulltext/2020/05220/dapagliflozin_associated_euglycemic_diabetic.50.aspx" target="_blank">https://journals.lww.com/md-journal/fulltext/2020/05220/dapagliflozin_associated_euglycemic_diabetic.50.aspx</a></p><p></p><p>This is what WebMD advises against taking Dapagliflozin.</p><p><a href="https://www.webmd.com/drugs/2/drug-165641/farxiga-oral/details/list-contraindications" target="_blank">https://www.webmd.com/drugs/2/drug-165641/farxiga-oral/details/list-contraindications</a></p><p></p><p>Note that the first mention is #Low Blood sugar, which is interesting. As I said previously, this is a medication you need to feed with carbs. The problem is that it apparently increases glucagon enzyme which causes a form of ketosis that is uncontrolled because the mechanism is blocked by the other actions it has on the kidneys. So it reduces glucose and steps up lipid burning without the usual natural controls.</p><p></p><p>So if you are doing LC diets when taking this medication - EAT CARBS!</p><p></p><p>Edit to add: eu-DKA occurs at BGL levels above 10 mmol/l but below the T1D levels of 20+. In other words, low blood levels start at 10 mmol/l and below so anyone controlling in the normal or prediabetic ranges is at great risk of DKA. WARNING (?????) This is not mentioned in the patient's pamphlet.</p></blockquote><p></p>
[QUOTE="Oldvatr, post: 2440780, member: 196898"] Here is a more detailed study of eu-DKA [URL]https://journals.lww.com/md-journal/fulltext/2020/05220/dapagliflozin_associated_euglycemic_diabetic.50.aspx[/URL] This is what WebMD advises against taking Dapagliflozin. [URL]https://www.webmd.com/drugs/2/drug-165641/farxiga-oral/details/list-contraindications[/URL] Note that the first mention is #Low Blood sugar, which is interesting. As I said previously, this is a medication you need to feed with carbs. The problem is that it apparently increases glucagon enzyme which causes a form of ketosis that is uncontrolled because the mechanism is blocked by the other actions it has on the kidneys. So it reduces glucose and steps up lipid burning without the usual natural controls. So if you are doing LC diets when taking this medication - EAT CARBS! Edit to add: eu-DKA occurs at BGL levels above 10 mmol/l but below the T1D levels of 20+. In other words, low blood levels start at 10 mmol/l and below so anyone controlling in the normal or prediabetic ranges is at great risk of DKA. WARNING (?????) This is not mentioned in the patient's pamphlet. [/QUOTE]
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