@Michele01 ...he already has ketone sticks that nurse prescribed when starting on Forxiga but the issue is here that he told me that she said he doesn't have to use them....he is more likely to take notice of what she says rather than what I say....hence I was hoping that she would tell him he needed to test daily...@Molly56 the one test that showed something was going wrong for me was by dipping my urine with the ketone test strip. It sounds like you're worried about your partner so to give you peace of mind I would suggest buying some and if nothing else just getting him to test once a day. Don't forget that this is a relatively new drug and data is still be gathered which is why the Diabetic Nurse has been more casual than you would have liked.
The ketone sticks should be used NOT on waking (as everybody has ketones early in the morning) but testing should happen a few hours after food (maybe breakfast or lunch) and then again at the end of the day. You can buy these over the counter I think.
@Michele01 ...he already has ketone sticks that nurse prescribed when starting on Forxiga but the issue is here that he told me that she said he doesn't have to use them....he is more likely to take notice of what she says rather than what I say....hence I was hoping that she would tell him he needed to test daily...
Am also interested in your comments to @furbydoggie about the low carb issue....my partner has not made a conscious decision to follow a low carb diet but seems to be doing so by default....he has cut out potatoes and most bread and will also look at carb content of foods he purchases and reject those too high in carbs...am wondering if this now puts him at greater risk of dka based on what your consultant asked you.
Is there anywhere that I can get hold of the information that you mentioned ....it could be useful to show to his diabetic nurse so that the right advice can be given.
I see from your other posts you are on insulin. Just wondering what sort of regime are you on - eg just basal, mixed insulin, MDI?I began taking Dapagliflozin in May this year and at my last out patient appointment at Diabetic Clinic my HBA1C dropped to 71 (from 78), my BMI 29 (from 30.1), and lost 1stone 5lbs in total, my blood sugars were within range. But..... I just could not cope with the 24 hour SWEATING and constant THIRST. And so, much to my GP dismay I STOPPED taking it 3 weeks ago and my blood sugars are slowly creeping back up.
That may be a good idea, as from what people say, background/basal insulin seems to help with the fasting blood glucose but a bolus injection with each meal is intended to deal with post-eating spikes. There is more info about this here:Hello CatLadyNZ. I am on 40 Units of Humulin l Insulin daily (which I believe to be "background" insulin) also taking 4 x 500mg Metformin daily. My next Diabetic Clinic appointment at Hospital is 14th October and I think? I might be going onto Fast Acting Insulin.
I began taking Dapagliflozin in May this year and at my last out patient appointment at Diabetic Clinic my HBA1C dropped to 71 (from 78), my BMI 29 (from 30.1), and lost 1stone 5lbs in total, my blood sugars were within range. But..... I just could not cope with the 24 hour SWEATING and constant THIRST. And so, much to my GP dismay I STOPPED taking it 3 weeks ago and my blood sugars are slowly creeping back up.
That may be a good idea, as from what people say, background/basal insulin seems to help with the fasting blood glucose but a bolus injection with each meal is intended to deal with post-eating spikes. There is more info about this here:
http://www.phlaunt.com/diabetes/15478720.php
I just thought I'd ask you about it since you said your blood sugars would be likely to increase without the dapagliflozin.Hopefully optimising your insulin regime will get your blood sugars down.
Hello Michele01, Answer is no, ketones was never mentioned, my GP just said: should I develop burning urine/genital thrush/severe backache = then STOP taking Dapagliflozin. (Never got any of those 3 things) I had NEVER suffered with "sweating" till I went onto Dapagliflozin - it was night & day, but worse about 15 minutes after eating, my clothes were stuck to my body as though a bucket of water had been thrown over me. I stopped going out socially. My GP gave me on prescription a roll on deodorant for my arm pits = that worked. The good things about taking Dapagliflozin was: my HBA1C came down to 71 (from 78), BMI to 29 (from 30.1) lost 1 stone 5lbs and kept my blood sugars within the normal range. All this in 4 months of taking the tablet. This last week have noticed a small increase in blood sugars and I have increased my background Insulin to 40 units (I also take 4 x 500mg Metformin daily) Thanks.
@Michele01 ....since posting on this thread my partner still doesn't see the need to test with ketone sticks....what is worrying is that according to him the diabetic nurse has told him that he doesn't need to use them....clearly the alert to medical professionals is not getting through...or if it is it is not being stressed strongly enough to patients.@liam1955 well I never had any of the symptoms that your GP told you to look for and look what happened to me! I believe that a general alert has now been sent to all medical professionals so I'd hope that they'd check for keytones and prescribe keytone sticks in future.
@Michele01 ....since posting on this thread my partner still doesn't see the need to test with ketone sticks....what is worrying is that according to him the diabetic nurse has told him that he doesn't need to use them....clearly the alert to medical professionals is not getting through...or if it is it is not being stressed strongly enough to patients.
We are going on holiday next month and the ketone sticks will be going with us despite anything he will say about not needing them...as will details of potential side effect of forxiga as discussed in this thread...I will be going prepared ....hopefully for a stress free holiday...
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