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SGLT2 inhibitors: updated advice on the risk of diabetic ketoacidosis
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<blockquote data-quote="ringi" data-source="post: 1731302" data-attributes="member: 410240"><p>virtahealth covered this in their lasted Facebook Q&A, they don't see any real imcreases risk from SGLT2 inhibitors with low carb. But they do try to stop them quickly as they are expensive in the USA and they question if they give any benefit to people who are keeping to a strict low carb diet. </p><p></p><p>They also pointed out that as everyone is testing their keytons each day with a doctor monitoring the results (with the help of AI) that if keytones did start going too high they would pick it up quickly before any real long term harm was done. </p><p></p><p>Personally I still expect the issue is people with a low insulin production being given SGLT2 inhibitors, but as fasting inslin level is not tested as standard we don't know. (I <strong>think</strong> virtahealth does the test) Remember that both low carb and SGLT2 reduce blood inslin levels and it is very low inslin levels that result in DKA not high BG.</p></blockquote><p></p>
[QUOTE="ringi, post: 1731302, member: 410240"] virtahealth covered this in their lasted Facebook Q&A, they don't see any real imcreases risk from SGLT2 inhibitors with low carb. But they do try to stop them quickly as they are expensive in the USA and they question if they give any benefit to people who are keeping to a strict low carb diet. They also pointed out that as everyone is testing their keytons each day with a doctor monitoring the results (with the help of AI) that if keytones did start going too high they would pick it up quickly before any real long term harm was done. Personally I still expect the issue is people with a low insulin production being given SGLT2 inhibitors, but as fasting inslin level is not tested as standard we don't know. (I [B]think[/B] virtahealth does the test) Remember that both low carb and SGLT2 reduce blood inslin levels and it is very low inslin levels that result in DKA not high BG. [/QUOTE]
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SGLT2 inhibitors: updated advice on the risk of diabetic ketoacidosis
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