Can we Start using Dapagliflozin (Forxiga, Farxiga) in type1 diabetes patients?

You might have come across a news that there is now an oral drug that has been approved for use in subjects with type 1 diabetes.
You Should understand the following facts about this drug and its approval.

  • In this research (DEPICT 2), only subjects who are adults were included. So if you are a child with type 1 diabetes, you should not use the drug
  • The average HbA1c reduction was around 0.4%
  • Recommended only if your BMI > 27Kg/m2
  • More Patients using the drug had a potentially fatal complication called Diabetic Ketoacidosis (DKA)
  • This is not a substitute to insulin. It is used along with insulin
  • It should not be used if your insulin requirements are low
  • It should be used only under extreme medical supervision
Author: Dr. Mathew John (Endocrinologist)
Last modified: February 8, 2019
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