Gliflozins Flashcards

1
Q

Gliflozins

A

SGLT-2 inhibitors
Inhibits sodium-glucose co-transporter 2 in renal tubule = reduced glucose reabsorption = increased urinary excretion

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2
Q

Examples

A

Dapagliflozin
Empagliflozin
Canafliflozin

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3
Q

SE

A
  • Life-threatening atypical DKA with only moderately raised blood glucose
  • Volume depletion
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4
Q

Life threatening DKA

A

Moderately raised blood glucose
Stop and test for ketons if DKA suspected
Report DKA symptoms

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5
Q

Volume depletion

A

Counsel pt to report:
- Postural hypotension
- Dizziness

Other SE:
- Constipation
- Thirst
- Polyuria
- UTIs
- Genital infections

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6
Q

Canagliflozin

A

MHRA/CHM
- Increased risk of lower limb amputation (mainly toes)

Counsel pt to report:
- Skin ulceration
- Discolouration
- New pain

Stay hydrated, preventative foot care, recognise/treat foot problems early

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7
Q

Gliflozins - MHRA

A
  • DKA
  • Necrotising fasciitis of the genitalia
  • Not to be used for T1DM (dapagliflozin)
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