Metabolic Effects of an SGLT2 Inhibitor (Dapagliflozin) During a Period of Acute Insulin Withdrawal and Development of Ketoacidosis in People With Type 1 Diabetes.
Roselle A HerringFariba Shojaee-MoradieRobert GaresseMary StevenageNicola JacksonBarbara A FieldingAgampodi MendisSigurd JohnsenA Margot UmplebyMelanie DaviesDavid L Russell-JonesPublished in: Diabetes care (2020)
During insulin withdrawal, the increase in BOHB with dapagliflozin may be partially due to increased lipolysis. However, reduced renal excretion, reduced BOHB uptake by peripheral tissues, or a metabolic switch to increased ketogenesis within the liver may also play a role.