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SGLT2 inhibitors: updated advice on the risk of diabetic ketoacidosis
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<blockquote data-quote="Oldvatr" data-source="post: 1732021" data-attributes="member: 196898"><p>Yes, but the OP was specific about not using keto diet. Ketosis requires low bgl to happen. I am not aware of anyone having SGLT-2 DKA happen while bgl levels are that low. The difficulty I see is that SGLT-2 DKA occurs in the midrange which is not the normal DKA symptom. Also the acidosis is happening with lowish bgl, which is normally where we expect insulin to be working and either burning glucose or storing it away. If neither of these is occurring then the bgl levels climb into the stratosphere. and would not hang around in midrange for long.</p></blockquote><p></p>
[QUOTE="Oldvatr, post: 1732021, member: 196898"] Yes, but the OP was specific about not using keto diet. Ketosis requires low bgl to happen. I am not aware of anyone having SGLT-2 DKA happen while bgl levels are that low. The difficulty I see is that SGLT-2 DKA occurs in the midrange which is not the normal DKA symptom. Also the acidosis is happening with lowish bgl, which is normally where we expect insulin to be working and either burning glucose or storing it away. If neither of these is occurring then the bgl levels climb into the stratosphere. and would not hang around in midrange for long. [/QUOTE]
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SGLT2 inhibitors: updated advice on the risk of diabetic ketoacidosis
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