Yesterday (8/9) I started the T2 drug Jardiance(empagliflozin). As many may or may not know, empagliflozin was approved in Europe for the treatment of hard to control or “brittle” T1 diabetes. However here in the states the FDA won’t approve it bc of the chance of developing DKA.
I first heard about this drug on the general forum board. People like myself who’ve had T1 for over 35+ yrs were under-standably angry and frustrated, while those who are recently diagnosed or under the 25 yr mark can’t understand why anyone would take a med that may or may not cause DKA. Two wks ago, I read articles from Diabetes UK and Medpage Today about the benefits for T1s who were started on the drug. See links below.
After a long discussion about pros and cons w my Endo and family, I decided to go ahead. After 47 yrs, I feel like I have nothing to lose and hopefully something to gain.
There is more than DKA to worry about. Because the drug causes the kidneys to excrete excess glucose through the urine,
there’s an increase chance for bladder infections(UTI) and yeast infections. Also bc of the increased urination, I have to make sure I don’t get dehydrated.
All that said, at 10:00 am I took my first dose w my morning Toujeo. My fbs was 222 bc I had a low around 6:00 am. I admit I was a little nervous, so instead of taking 10mg, I took 5mg. During the day I noticed my stomach was upset and I didn’t have much of an appetite. However my bgs ran between 100 - 107. I did drop in the evening to 70 but this was bc I didn’t finish dinner.
I’ve also upped my water intake…yuk😖 I’m a strict Diet Dr Pepper drinker, I’ve been keeping my bladder empty and testing for ketones every time I go.
So far it was a good day, except for the stomach upset. I know I’ll have to fine tune dosages and food for a couple of days but that’s ok. My Endo and I agreed I would try it for a month. If I don’t notice changes w control, start getting UTIs, or spilling ketones, then I’m done.
I decided to blog about my experience bc there are a lot of long timers such as myself who want more. If my experiences can encourage or help someone, well that makes it worth while. I welcome all comments and questions.
Until next time