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- Title
Sodium‐glucose co‐transporter inhibitors, their role in type 1 diabetes treatment and a risk mitigation strategy for preventing diabetic ketoacidosis: The STOP DKA Protocol.
- Authors
Goldenberg, Ronald M.; Gilbert, Jeremy D.; Hramiak, Irene M.; Woo, Vincent C.; Zinman, Bernard
- Abstract
Recent phase 3 clinical trials have evaluated the impact of adding sodium‐glucose co‐transporter (SGLT) inhibitors to the type 1 diabetes armamentarium. These trials studied SGLT2 inhibitors (dapagliflozin and empagliflozin) and a dual SGLT1 and SGLT2 inhibitor (sotagliflozin), and demonstrated that these oral non‐insulin antihyperglycaemic medications are able not only to improve glycaemic control, but also to reduce body weight and extend time in range without increasing rates of hypoglycaemia in type 1 diabetes. Diabetic ketoacidosis (DKA) is a feature of type 1 diabetes and the risk is increased when SGLT inhibitors are used in type 1 diabetes. To minimize the risk of DKA and still gain the multiple benefits, we developed the "STOP DKA Protocol ", an easily accessible and practical tool, that provides a risk mitigation strategy for reducing DKA in patients with type 1 diabetes being treated with SGLT inhibitors.
- Subjects
TYPE 1 diabetes; DIABETIC acidosis; GESTATIONAL diabetes; BODY weight
- Publication
Diabetes, Obesity & Metabolism, 2019, Vol 21, Issue 10, p2192
- ISSN
1462-8902
- Publication type
Article
- DOI
10.1111/dom.13811