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How would you counsel patients with type 1 or type 2 diabetes mellitus and heart failure on the use of SGLT-2 inhibitors when they have a history of DKA?

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How would you counsel patients with type 1 or type 2 diabetes mellitus and heart failure on the use of SGLT2 inhibitors when they have a history of DKA?

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1 Answer
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Endocrinology · Brigham And Womens Hospital Endocrinology
Answered on

Making a recommendation to prescribe this class will really require a case-by-case clinical assessment. It is clear that SGLT-2 inhibitors are very effective in preventing hospitalization for heart failure, and so we will want to suggest their use whenever possible. But it is also clear that DKA (mo...

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