A 57-year-old woman takes dapagliflozin for type 2 diabetes. She has vomiting, poor oral intake and abdominal pain. Her home glucose is 9 mmol/L.

Question

A 57-year-old woman takes dapagliflozin for type 2 diabetes. She has vomiting, poor oral intake and abdominal pain. Her home glucose is 9 mmol/L. What monitoring is required?

Accepted Answer

Stop dapagliflozin temporarily and seek urgent assessment for possible ketoacidosis

Answer

Continue dapagliflozin because glucose is below 10 mmol/L

Answer

Take loperamide and ignore abdominal pain

Answer

Use ibuprofen to reduce ketone production

Answer

Double dapagliflozin until eating normally

SGLT2 sick day advice — GPhC CRA MCQ

A 57-year-old woman takes dapagliflozin for type 2 diabetes. She has vomiting, poor oral intake and abdominal pain. Her home glucose is 9 mmol/L. What monitoring is required?