Gliflozins Flashcards
Gliflozins
SGLT-2 inhibitors
Inhibits sodium-glucose co-transporter 2 in renal tubule = reduced glucose reabsorption = increased urinary excretion
Examples
Dapagliflozin
Empagliflozin
Canafliflozin
SE
- Life-threatening atypical DKA with only moderately raised blood glucose
- Volume depletion
Life threatening DKA
Moderately raised blood glucose
Stop and test for ketons if DKA suspected
Report DKA symptoms
Volume depletion
Counsel pt to report:
- Postural hypotension
- Dizziness
Other SE:
- Constipation
- Thirst
- Polyuria
- UTIs
- Genital infections
Canagliflozin
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
Gliflozins - MHRA
- DKA
- Necrotising fasciitis of the genitalia
- Not to be used for T1DM (dapagliflozin)