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Worried about ketoacidosis
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<blockquote data-quote="Oldvatr" data-source="post: 2193518" data-attributes="member: 196898"><p>Keto acidosis can occur when using an SGLT-2 Inhibitor such as Empagliflozin</p><p><a href="https://www.diabetes.co.uk/forum/threads/sglt2-inhibitors-updated-advice-on-the-risk-of-diabetic-ketoacidosis.104325/" target="_blank">https://www.diabetes.co.uk/forum/threads/sglt2-inhibitors-updated-advice-on-the-risk-of-diabetic-ketoacidosis.104325/</a></p><p></p><p>Note that ketoacidosis has been recorded when bgl levels are as low as 10 mmol/l wheereas diabetic DKA is only associated with very high bgl levels in the 20's and above.</p><p></p><p>There is advice not to use low carb when on this medicine. One thing is that jardiance is flushing out not just glucose in the pee, but also sodium, potassium, and other minerals from your body. It is also dehydrating you, and you seem to be meeting the water intske, but maybe need some electolytes too so maybe use a sports drink. Two weeks is early days for your body to fully adjust, so as mentioned above, try a bit longer, or maybe ease the carbs back in at a moderate level istead of going flat out keto. That is what I did, and I had not ill effects at all. I ran my diet so that one slice of toast in the morning contolled whether I went keto or remained just above. Either way my bgl dropped to the seweetspot.</p><p></p><p>One thing I have discovered with that particular journey is that I have a slight lactose intolerance in that I am fine with full fat milk, but too much double cream gives me similar wide effects to the ones you describe . Just a thought, are you overdoing the bulletproof coffee thingy? Too much cheese?</p><p></p><p>According to the FDA, Empagliflozin is the mildest version of SGLT-2 med on the market. The others have stronger effects apparently. I was on Forxiga and it did me in with severe UTI and my bgl did not drop much, so I stopped it quite quickly, especially after I read what the FDA was saying about it. Especially the bit about genital gangrene. OOOPsie - No WAY</p></blockquote><p></p>
[QUOTE="Oldvatr, post: 2193518, member: 196898"] Keto acidosis can occur when using an SGLT-2 Inhibitor such as Empagliflozin [URL]https://www.diabetes.co.uk/forum/threads/sglt2-inhibitors-updated-advice-on-the-risk-of-diabetic-ketoacidosis.104325/[/URL] Note that ketoacidosis has been recorded when bgl levels are as low as 10 mmol/l wheereas diabetic DKA is only associated with very high bgl levels in the 20's and above. There is advice not to use low carb when on this medicine. One thing is that jardiance is flushing out not just glucose in the pee, but also sodium, potassium, and other minerals from your body. It is also dehydrating you, and you seem to be meeting the water intske, but maybe need some electolytes too so maybe use a sports drink. Two weeks is early days for your body to fully adjust, so as mentioned above, try a bit longer, or maybe ease the carbs back in at a moderate level istead of going flat out keto. That is what I did, and I had not ill effects at all. I ran my diet so that one slice of toast in the morning contolled whether I went keto or remained just above. Either way my bgl dropped to the seweetspot. One thing I have discovered with that particular journey is that I have a slight lactose intolerance in that I am fine with full fat milk, but too much double cream gives me similar wide effects to the ones you describe . Just a thought, are you overdoing the bulletproof coffee thingy? Too much cheese? According to the FDA, Empagliflozin is the mildest version of SGLT-2 med on the market. The others have stronger effects apparently. I was on Forxiga and it did me in with severe UTI and my bgl did not drop much, so I stopped it quite quickly, especially after I read what the FDA was saying about it. Especially the bit about genital gangrene. OOOPsie - No WAY [/QUOTE]
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