Real life evaluation of sodium-glucose cotransporter 2 inhibition in type 1 diabetes and the risk of diabetic ketoacidosis

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  • Elisabeth B. Stougaard
  • Kristensen, Peter Lommer
  • Urd Kielgast
  • Henrik U. Andersen
  • Yasmin Hamid
  • Peter H. Gæde
  • Esben Søndergaard
  • Gry H. Dørflinger
  • Karen K. Fjeldborg
  • Klavs W. Hansen
  • Henrik H. Thomsen
  • Thuraya M.J. Al-Imar
  • Michael Røder
  • Vikas S. Sridhar
  • David Cherney
  • Rossing, Peter
  • Frederik Persson

BACKGROUND: The indication for treatment of type 1 diabetes(T1D) with the sodium-glucose cotransporter 2 inhibitor (SGLT2i) dapagliflozin has been withdrawn in Europe likely because of concern for diabetic ketoacidosis (DKA). We calculated the incidence of DKA in people with T1D treated with SGLT2i in Denmark. METHODS: Clinical data from adults with T1D in Denmark were collected from nine outpatient clinics. Electronic health records made the search for DKA accurate. RESULTS: From a population of 10.500 we observed 134 people treated with SGLT2i over a total period of 222 patient-years. Of those 72% were female, mean age (SD) was 51.4 (13.6) years and median duration of treatment (median, IQR) with an SGLT2i were 12.0 (6.0-29.0) months. The incidence of DKA was zero%. CONCLUSION: In 134 people with T1D treated with SGLT2i we found that none of the participants developed DKA during the treatment.

Original languageEnglish
JournalDiabetes & vascular disease research
Volume19
Issue number5
Pages (from-to)14791641221130043
ISSN1479-1641
DOIs
Publication statusPublished - 2022

    Research areas

  • diabetic ketoacidosis, sglt2 inhibitors, Type 1 diabetes

ID: 323997300