sodium-glucose cotransporters

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Specializes in Diabetes Education.

What are you thoughts on this class of medicine? There are 2 new ones on the market in the last year or two, studies appear to be good, but the idea behind having patients urinate out more glucose seems backwards to me. I understand that they would have less glucose circulating through their kidneys by kicking it out through the urine, but I have mixed ideas.

Any thoughts, experiences, ideas on these?

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Specializes in nursing education.

I too think it's odd. None of our patients are on either of them. UTI and yeast infections as side effects, no thank you.

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Specializes in LTC.

Pt experience T1D on invokana. Wonder drug in my experince. Lowered insulin doses by 60% on the low dose. Less insulin=less lows. A1c from 6.5 to 5.6 in a year on it. No UTI, no yeast issues. All kidney function is normal a year in. I'm just one person, and I'm being offlabled it as it is not currently studied in T1D.

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Specializes in Diabetes Education.

Interesting Alisonisayoshi, I have concerns with it long-term, although I've been wrong before. I have wondered about why it couldn't be used for type 1 diabetes since they specifically work on the kidneys. Thanks for the information. Just out of curiosity, is your medical provider giving this to you or are you part of a study group using this with type 1 diabetes?

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Specializes in LTC.

My Endocrinologist prescribes it to me.

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Specializes in nursing education.

Thanks for sharing this, Alisonisayoshi.

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