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Why SGLT2 Inhibitors Cause Euglycemic DKA

  Рет қаралды 8,917

Conan Liu, M.D.

Conan Liu, M.D.

Күн бұрын

Why are we seeing so much more euglycemic DKA after the introduction of SGLT2 inhibitors? In this video I will go over why so many more Type 2 diabetic patients are coming in with DKA when this disease process was previously much more predominantly seen in Type 1 diabetic patients. I will briefly review the pathophysiology of DKA (it's a helpful thing to review imo!) and then we will see how SGLT2 inhibitors end up playing a role to create a relative insulin deficiency leading to euglycemic DKA!
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Пікірлер: 27
@chloesmombetsey
@chloesmombetsey 9 ай бұрын
Currently hospitalized from this. Thank you for the clear explanation.
@bfurl69
@bfurl69 Жыл бұрын
Great video. I’m giving a presentation tomorrow on outpatient T2 diabetic meds and I got to SGLT2 inhibitors and scratched my head at euglycemic dka. Hopefully i can avoid getting pimp slapped tomorrow! 😅
@nina-cy5dd
@nina-cy5dd 4 ай бұрын
second year med trying to refresh on this stuff before my endocrine block. thank you! you explained that so well
@ericaaguilar6537
@ericaaguilar6537 4 ай бұрын
Ambulatory care pharmacist resident here who is going to be presenting on weather we should or should not re-initiate SGLT2i post eDKA/DKA in patients! Appreciate the clear explanation for the mechanism :D
@chrissem2654
@chrissem2654 11 ай бұрын
Thank you for the detailed explanation. This explanation is very helpful to understand what is going on in my body. I have just been diagnosed with EDKA caused by Synjardy to treat Prednisone indused high hba1c, which made me very sick to be admitted to the ICU. I was never a diabetic, the doctors checked my blood work for 2 years back, and there was no indication that I ever had diabetes, so the EDKA was cased by Synjardy. Thank you so much. New subscriber watching you from 🇨🇦 🇨🇦 🙏❤️
@irrelephant0
@irrelephant0 Жыл бұрын
Really helpful! And always nice to review a little bit about DKA - I tend to always forget about it haha
@rosedean-paccagnella5820
@rosedean-paccagnella5820 Ай бұрын
Nice paintings too! thanks for the explanation
@malsam9668
@malsam9668 7 ай бұрын
Thank you, very helpful. Watching this at my sisters bedside as she is in ICU with this now. She was on Jardiance.
@DuffyF56
@DuffyF56 6 ай бұрын
I just got out of 4 days in ICU for EuDKA and was also on Jardiance.
@SourChip123
@SourChip123 Жыл бұрын
As an M1, its cool listening to you talk through these topics. Do you think you would ever make a video highlighting paths to different fellowships after IM?
@debigdogk9563
@debigdogk9563 Жыл бұрын
Great explanation, it finally makes sense. Thanks Conan ❤❤❤❤
@javadaghrab5687
@javadaghrab5687 Жыл бұрын
Fantastic information I have been looking for this kind of a concise and to the point answer most of the time I get bulshit for HELP. I got some time on my hands I will check out the other stuff as well
@tiffanytran4970
@tiffanytran4970 Жыл бұрын
Could you do a video on DKA/HHS management please? :) thank you!
@chelseahylton2478
@chelseahylton2478 Жыл бұрын
Extremely helpful!!!!!
@annaohare8263
@annaohare8263 5 ай бұрын
Thanks helpful, from a nurse .
@bruryrosally-dq9qw
@bruryrosally-dq9qw 4 ай бұрын
most article prefer the term "classical" DKA, some might prefer "typical" DKA rather than "normal DKA" to describe the most common type of DKA
@ConanLiuMD
@ConanLiuMD 4 ай бұрын
Love it! Thank you for that point and for keeping me updated on the more correct terminology!
@Shrivedh
@Shrivedh 18 күн бұрын
@@ConanLiuMD In my practice we're starting to move toward just calling it DKA or EKA (euglycemic ketoacidosis). Hopefully this becomes the standard as it saves 1 letter :D
@MysticMango412
@MysticMango412 9 ай бұрын
Hi, I was wondering which stylus and trackpad you're using for this video.
@user-tu5oy4zk4x
@user-tu5oy4zk4x 8 ай бұрын
well explained
@LEARNING-MEDICAL-EDUCATION
@LEARNING-MEDICAL-EDUCATION Жыл бұрын
dear doctor, lets solve some drug add and abstract questions from ABIM
@davidalex1506
@davidalex1506 Жыл бұрын
Inability to complete cellular respiration
@BsmLy
@BsmLy Жыл бұрын
Is it possible to have EDKA although taking NO medication whatsoever? I hope to have a sufficient answer.
@rddiaz2001
@rddiaz2001 Жыл бұрын
Yes seen it in starvation euglycemic DKA
@BsmLy
@BsmLy Жыл бұрын
@@rddiaz2001 about 10 days ago, my ketones number was 8.4 while glucose was 76,.. I think I was too close. Any comment will help. Thank
@thomasschock4799
@thomasschock4799 Жыл бұрын
Can you do a video explaining why athletes/active people should use a Cystatin-C test to check kidney bio markers?
@ConanLiuMD
@ConanLiuMD 11 ай бұрын
I'm going to record one now
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