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T1, Dapagliflozin, weight loss, DKA risk
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<blockquote data-quote="DCUKMod" data-source="post: 2198143" data-attributes="member: 345386"><p>WJP1055 - as you may know the Flozins (there are a number of very similar meds), are much more commonly prescribed to T2s, looking to reduce their blood sugars, and maybe trim up a bit too.</p><p></p><p>The risk of DKA is in a different form to the more usual T1 DKA, which, as I understand it is associated wit his high blood sugars, plus ketones. The risk with the Flozins, put in its simplest form, is that DKA can occur when the individual has perfectly normal, non elevated blood glucose. On that basis, it tends not to be indicated where a person is eating to a Keto or very low carb lifestyle. I haven't noticed if you mentioned how low carb you are.</p><p></p><p>Obviously, if you are already living a reduced carb diet, and have great blood sugars, it is unlikely, as things currently stand, that you would experience DKA in the immediacy. Obviously, illness, stress and so on have the capacity to be a game changers.</p><p></p><p>Were I in your shoes, having got myself into a good place, I (and I stress I express this for myself), I'd not be at all keen to bring another risk into the agenda, especially when considering how dreadful DKA can be.</p><p></p><p>If your kidneys are in decent shape, did your Doc consider upping your Metformin a bit more. You don't appear to be on the max dosage, and Metformin can help some trim up, whether through appetite suppression, or improving insulin resistance, where there is any.</p><p></p><p>Just finally, you state you take a daily aspirin; is there a particular reason for that?</p><p></p><p>(edtited because new thread was created)</p></blockquote><p></p>
[QUOTE="DCUKMod, post: 2198143, member: 345386"] WJP1055 - as you may know the Flozins (there are a number of very similar meds), are much more commonly prescribed to T2s, looking to reduce their blood sugars, and maybe trim up a bit too. The risk of DKA is in a different form to the more usual T1 DKA, which, as I understand it is associated wit his high blood sugars, plus ketones. The risk with the Flozins, put in its simplest form, is that DKA can occur when the individual has perfectly normal, non elevated blood glucose. On that basis, it tends not to be indicated where a person is eating to a Keto or very low carb lifestyle. I haven't noticed if you mentioned how low carb you are. Obviously, if you are already living a reduced carb diet, and have great blood sugars, it is unlikely, as things currently stand, that you would experience DKA in the immediacy. Obviously, illness, stress and so on have the capacity to be a game changers. Were I in your shoes, having got myself into a good place, I (and I stress I express this for myself), I'd not be at all keen to bring another risk into the agenda, especially when considering how dreadful DKA can be. If your kidneys are in decent shape, did your Doc consider upping your Metformin a bit more. You don't appear to be on the max dosage, and Metformin can help some trim up, whether through appetite suppression, or improving insulin resistance, where there is any. Just finally, you state you take a daily aspirin; is there a particular reason for that? (edtited because new thread was created) [/QUOTE]
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