EVERY DIABETIC SHOULD BE ON THESE MEDS! Jardiance, Farxiga, Invokana, Steglatro.
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- Опубликовано: 10 июл 2024
- * Content has been oversimplified for understanding*
In this video, Diana Bytyqi discusses an important class of antidiabetic medications called SGLT2 inhibitors. This class consists of Jardiance, Farxiga, Invokana, and Steglatro.
This is becoming a very popular class of medications, not only because they reduce hba1c by nearly 1-1.5%, however, they are shown to be an effective class of medications for the protection of the heart and kidneys.
We are now seeing nephrologists and cardiologists recommending this class, Jardiance in particular, for both renal protection and for the reduction of congestive heart failure admissions and reducing cardiac death by nearly 43% in diabetic patients.
Although not indicated for weight loss, this class is associated with some weight loss. Hypoglycemia (low blood sugar levels) are very uncommon with this medication given in the mechanism in which the medication works.
SGLT2 inhibitors work with the kidneys to get rid of the extra sugar in the bloodstream. Hence, it is important to drink plenty of fluid to replenish water loss through excessive urination.
Because of the sugar in the urine, yeast infections are more common, especially in women. Therefore, we recommend regular hygiene after each restroom use such as the use of water or wet wipe to get rid of the sugar.
Timecodes:
00:00 Intro
00:32 Jardiance, Farxiga, Invokana, Steglatro
01:30 How SGLT2 inhibitors work
01:58 How the kidneys work
03:08 Kidneys and SGLT2 inhibitors
04:20 Benefits of Jardiance, Farxiga, Invokana...
05:35 Kidney and heart protection with Jardiance, Farxiga...
07:15 Side effects of Jardiance, Farxiga, Invokana, and Steglatro
#diabetes
#diabeticmeds
#lowerbloodsugar
#jardiance
#farxiga
#invokana
#steglatro
#sglt2inhibitor
#thevoiceofdiabetes
#diabeticcomplications
#protectkidneys
#controldiabetes
#protectheart
#thevoiceofdiabetes
#lowera1c
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Disclaimer: The information on this channel (The Voice of Diabetes) is provided as an information resource ONLY. It is not to be used or relied on for any diagnostic or treatment purposes. This information is not intended to be patient education, does not create any patient-physician (APRN) relationship, and should not be used as a substitute for professional diagnosis and treatment. Please consult your health care provider before making any healthcare decisions or for guidance about a specific medical condition. Diana Bytyqi, DNP, FNP-C, shall have no liability for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on the information contained on this site.
I started taking Jardiance 3 weeks ago & it has been fantastic with no side effects. I haven’t seen such consistently good blood sugar numbers below 100 in a long time.
Completely agree
amazing video, very useful and easy to understand. thank you for always taking the time to simplify everything for us. So much appreciated.
Thank you Max! Always appreciated it.
This is such a great video. Thanks for this information.
Thank you :)
Nevermind all these chemicals! Do yourself a favour and get on a low carb high protein diet and watch your blood sugar levels return to normal. I was so desperate because a lot of these drugs just weren't working for me. As soon as I started a low carb diet and cut out the metformin and invokana, I found my blood sugar levels returned to normal. I don't hardly eat any carbs but lots of protein (meat), salads, cheeses etc. You need to try it and see if it won't work for you. It did for me!
Thank you for sharing with us. I’m so glad to hear that lifestyle changes are working for you. I love LOVE hearing these stories. I always say… the most underutilized medication on the planet is diet and exercise unfortunately. Keep up the great work. Keep us posted 😀
I have CHF and was recently prescribed Farxiga by my Cardiologist. I was confused, as I don’t have diabetes - but this video was helpful in understanding the benefits in my situation.
Thanks for sharing this with us. We see so many more cardiologist prescribing this now. Its impressive. It's nice to see a med do more than one thing :)
Thanks for this excellent description of these drugs. My doc wants to put me on Jardiance, so your explanation was helpful. I have subscribed to your channel. Look forward to more informative videos.
Thank you Daniel. I am so glad you enjoyed the video. I hope to continue making more informative videos. Stay tuned :)
Thank you for providing this important information to us. Great video as always 🙌
Thanks for tuning in! Glad you enjoyed this video :)
Well, let me tell ya, I wandered in here wantin' to get the lowdown on Farxiga, that brand spankin' new medication I'm 'bout to start. And there was this delightful lady, bless her heart, who explained every little detail, clear as a bell. It's all 'cause of her wisdom and advice that I made the leap from NPH insulin to Tresiba. And darlin', ever since I made that switch, my life's been on an uphill path, better than a sweet peach on a hot summer day!
Thanks for sharing with us
New subscriber here. Love the vid. Appreciate the detailed explanation of why we should stay hydrated. I’ve been on Farxiga for one week so far. Yes, peeing lots, thirsty, drinking lots of water, making efforts to stay clean. Hoping for good blood sugar numbers and some weight loss, feeling HOPEFUL about my health for the first time in a long time. Next I need to tweak my food and up my exercise. 🙏 ☺️
Today is my 3rd day on 10mg of Jardiance. For at least 2-3 years I have been on 4x of 500mg of metformin. So when A1c went from 6.7 to 7.9 my doctor put me on this jardiance. Last three days I’ve been wanting to sleep.
Given the great reviews of jardiance I don’t want to give up on it, so I’m thinking to cut it in half to 5mg a day and see how I can have less fatigue. The nice feature of this med is it makes you feel thirsty and wanting and enjoy drinking water 💦 💦! Before I had to force myself to drink water.
Definitely a great choice! But, it does cause very frequent urination which can be a lot for patients sometimes. The good news is that with time, the urination seems to get better for most people. Thanks for sharing your story with us.
I love this beautiful Doctor
Thanks so much!!! I appreciate the love.
Hi. Please make a video of how to manage diabetes for those working on the ship. We don't get the right food always and we have to also sacrifice our sleep sometimes. Keeping this in mind, please make a video on how to deal with diabetes for seafarers. It will be very helpful. Thank you.
Hi Jamie, thanks for the feedback. Most definitely. I will work on one "diabetes on the go" where you may be out of your normal routine and what you can do to still control blood sugars... I appreciate the recommendation. Best of luck
Yet another wonderful video 👏
Thank you Diana 🤗
Thank you Lena!
Aw great video!
Thank you!!
Great video!
Thanks Vlora!
Great video as usual Diana. However it brings up many, many questions. i know it is individual patient's health that determines level of treatment. But in general at what A1C level should you go on a SGL2 inhibitor?? For example, I'm on Trulicity (for about a year lowest level)A1C 6.7. At what point do I add an SGL2 like Jardiance. I always thought the lower A1C the better but do I need to try and get into the normal range or is 6.7 okay? I'm a 72 year old male in general good health except for diabetes. It seems to me to be very complicated when you get your A1C under 7 as to further treatment. If as you stated SGL2 inhibitors are so great should it be added since I'm already on Trulicity?? Head scratcher
Hi Rob, I always look forward to your great questions and feedback. This is definitely a "head scratcher"... In your case, either option is good. If you have blood pressure issues, then I would definitely discuss adding one of these meds as they are great at lowering blood pressure in addition to blood sugars... Additionally, if you have heart disease then I wouldn't think twice... (jardiance) would be added.. However, if neither apply to you then I would likely keep my patient on trulicity and continue to monitor hba1c level... If it starts to spike up, I would add SGLT2... Hope this helps. I know it's not a clear cut answer but there are so many different components we consider before adding/eliminating meds, etc. Best of luck!
As always Diana thanks for the info and taking the time to respond
you can lower your A1C that much by just drinking the right amount of water, beware of big pharma claims and proposed mechanisms of action. When people talk about these "mechanisms of action" as though it's the absolute truth they're misleading people. most of the time these "mechanisms of action" are accompanied by cute cartoon like drawings. it's all designed to make you feel like you're learning something about science. DON'T BUY INTO IT.
Great info. 👍
Thank you :)
Very interesting video. Would be good to hear more about bitter melon if you have any insights to share?
Thanks for watching David! I will work on a video to answer your question. Best of luck :)
Thank you for the info! My endo has put me on Kerendia, my nephrologist also wants to add Farxiga. Thoughts? I am stage 4 ckd, t2d, 78 yo female.
Isnt Metformin the Best and Safest Medication? Which is better and safer? Metformin / Jardiance?
I was recently asked by my cardiologist if I wanted to try Jardiance. I’m 62 yo female with CHF, HBP, stage 5 kidney damage. On Lantus and a quick acting insulin ( I take as needed). Would the Jardiance replace the insulin.? and would it reverse kidney damage ? Thanx for any feedback.
Hello,
I am sorry to hear about your complications. Jardiance helps protect the kidneys... It does not reverse kidney damage. We do not recommend Jardiance if the patient's eGFR is below 30. Jardiance does not normally replace insulin, however, I have needed to cut down on dosing depending on patients blood sugar levels with the addition of jardiance... Sometimes, we can cut down quite a bit on insulin if patient is responding well to Jardiance. I would recommend discussing with your Endocrinology team if you are a candidate for jardiance and if you are, I do recommend it to help protect your kidneys against diabetes along with cardiac protection... Hope this helps!
I reversed my kidney disease three levels on a low fat plant based diet, I was talking to the nephrologist in hospital about dialysis.
Thank you for explaining this so well. I'm a testimony 🙏, I take Ozempic and Jauradine. I feel amazing using both of them. Just drink lots of water and baby wipes.
Glad you are doing well on both of these meds. Some of our preferred in endo are Jardiance and Ozempic. :) Keep up with the water hydration
I’m so happy you said this . This will be my new corse of treatment ❤
Hello doctor. Thanks for this very helpful video. My mom has been on Jardiance for 8 months now and since then she lost 4.5kg. Should i be worried?
when taking this med do you need to reduce insulin intake like.. Lantis, Novalog.. things like that?
And what is the difference in 10.. 15.. 20mg and how it effects insulin and pills
Usually yes. We may need to cut back depending on patients blood sugar levels.Hope you are doing well :)
Jardiance is a excellent choice for lowering A1C?
Hi Seth, yes, Jardiance is one of our preferred. It not only helps lower A1c, but also, helps lower blood pressure and to protect the kidneys against the diabetes. We also see some weight loss. Definitely one of the most recommended from us endocrinology specialist unless otherwise contraindicated.
My A1c increased to 7.2 and my doctor just sent this medication (25mg) for me to my pharmacy. I’m a little worried because I pee a lot as is. Is this a lifelong medication or is this something that I can slowly come off of if I do my part and maintain control of my type 2? I am fairly active but I recently lost interest in exercise and dieting or just anything due to a death in my family. My A1c jumped up along with my cholesterol and now joint pain. My doctor wanted to put me on Ozempic but just found out thyroid cancer is on my paternal side. So jardiance it is! Don’t know how to feel about it now reading all these comments about yeast infections, UTIS, flesh eating infections, and all that jazz!
Hi Dee. Thanks for sharing with us. Jardiance is relatively a safe medication. Of course, always possibility of side effects but overall really well tolerated with MANY health benefits as well. I wouldn’t worry about the frequent urination. I’ve noticed that once the sugar levels are more normalized for patients, that slows down and becomes a lot more “normal”.
Also, just an FYI: ozempic is only contraindicated in those with a family history or personal history of “medullary” thyroid cancer. Not for papillary which is the most common form of thyroid cancer.
Hope this helps! Keep us posted 😀
Thank you so much for your response! Especially with the differences between thyroid cancers.
I have read jardiace can be treatment for heart failure, is it true?
Hello, great question. Correct, Jardiance and farxiga are now both used to reduce the risk of heart failure… diabetics are at increased risk of developing heart failure so it’s a great thing to have Medications that help reduce that risk. Hope that answers your question. 😀
Can Jardiance be prescribed for pre-diabetes (current A1C is 6.1)? I also have hypertension, high cholesterol, tachycardia, cardiac preload failure and family history of heart failure, and am obese so seems like a good medication for me overall ^_^
Hello, it’s not recommended for pre diabetes… I would normally start will metformin… I have a video on metformin if you want to watch it, may find it helpful. Metformin can also help reduce insulin resistance and can help with some weight loss as well. So that would be my suggestion in this case along with diet and exercise! Hope that helps.
@@thevoiceofdiabetes I was on Metformin for 2 months and was hospitalized for dehydration from all the vomiting and diarrhea so no :(
Is Jardiance better then Metformin?? In Case like Pre Diabetes(Insulin Resistance) Blood Sugar in the Morning 7, so Pre Diabetes mostly Insulin Resistance
They make Synjardy which is a combo of Jardiance and Metformin.
Two different medications. they can be used in combination. Hope you are doing well :)
I am a diabetic and is on met Forman for many years and 4 months ago Jardiance 10mg also added to my meds. My issue, my urine smells like boiled egg , nobody has mentioned this issue, I had no urinary infection, this smell is bothering me. I lost some weight. Can you explain what is going on. Appreciate your help. Thanks.
It can be from the sugar you urinate out. Please discuss further with your provider to make sure there isn't anything else possible happening. Keep me posted. You are doing well :)
Jardiance will lower your blood glucose, but it can also cause crotch rot and severe UTI's. Missing work time writing this comment due to the above listed. Please think long and hard before considering this medication. Talk to your doctor about other options.
I just started farxiga and it gave me a massive and painful yeast infection, I was even scared that it would be a STI, did your symptoms got better after sometime of taking it?
@@marialacona I refuse to take it now.
tried it for 2 days too many side effects, not for me. These you tube pushers are definitely getting paid.
I have been on Farxiga for about a year and have not had any problems. I make sure to drink at least 80 ounces of water per day, water or non-caloric beverage otherwise. The first day was horrible because of constant urination throughout the day, but I was fine after that.
I am a man, so obviously, I will not have some of the symptoms mentioned in other posts in this thread. For some of those problems, my amateur guess as to a possible problem might be not drinking enough water, which is absolutely essential for this medicine, which works by eliminating glucose from the body through urination.
I have urine sugar seen using this medication is it ok?please reply
That is possible and can be normal. As the blood sugars improve, these symptoms tend to get better. Hope this helps.
I was on Jardiance. I had a bad reaction to it. Constant low-grade headache in my forehead, and a constant dry mouth. Other problem as well, too embarrassing to relate. Here are some of the possible side-effects: * Possible Jardiance side effects:
• Necrotizing fasciitis. A rare but serious bacterial infection that causes damage to the tissue under the skin in the area between and around your anus and genitals (perineum). This bacterial infection has happened in women and men who take JARDIANCE, and may lead to hospitalization, multiple surgeries, and death. Seek medical attention immediately if you have a fever or are feeling very weak, tired or uncomfortable (malaise), and you develop any of the following symptoms in the area between and around your anus and genitals: pain or tenderness, swelling, and redness of skin (erythema).
• Yeast infection of the penis. Swelling of an uncircumcised penis may develop that makes it difficult to pull back the skin around the tip of the penis. Talk to your healthcare provider if you have redness, itching or swelling of the penis, rash of the penis, foul smelling discharge from the penis, and/or pain in the skin around the penis.
READ the possible side-effects before agreeing to take this medication! Note: My prescription cost $47 under my medical plan.
Your information scared me to pieces! I just took my first Jardiance. Also my prescription was a $400 copay for me!
@@QueenBee-gx4rp How's it been going so far? I am supposed to change after many years of metformin to Jardiance in two weeks when my current prescription runs out and frankly, reading all about the negative reviews I am getting nervous, especially about the urinary tract issue. I hope it has been working all right for you. If you have a moment please respond and let me know how it feels so far.
Thank you for this very informative video.
Thank you for watching. Hope all is going well :)
My dads doctor took him off Metformin because possible heart issues that true with Metformin ? So he put him on Jardiance .
My doctor prescribed jardiance and i've been on it for about 2 weeks now. I'm urinating a lot lol - so i'm drinking a lot of water. I guess my only concern is, if the kidneys are working "harder" to get rid of all the sugar, in the long run .... wouldn't they burned from all the hard working
Don't worry about the kidneys with frequent urination. That is their job-- we want to keep them busy and working-- Blood sugar is what kills the kidneys not too much water intake. You are good!
Thank you for all the information I needed to know it was very helpful. I lost 40 pounds on Jardiance and I was extremely happy with the results. But my Doctor changed my medication to Farxiga and Metformin. I've gained 7 pounds and I want to know why. ? I've have changed my diet or daily exercise. Question? Do these 2 meds work together good and helps to maintain your weight?
Farxiga is very similar to Jardiance. I’m glad they’re working well for you. Yes, metformin and Jardiance are a great combo together and work well. Both can help with some weight loss which is great. 😊
What’s A1C on the Richter scale?
Richter scale?
Everything is not for everyone, this drug had my body in so much pain ,only after 3 days and I was itching down below, and it messed with my eyes sight, I had to take a pill for UTI
Hi Barbara! Thank you for your comment and sharing your own experience. That’s very true. Definitely not for everyone. Unfortunately, that can happen with this particular class especially. Did you end up stopping it?
@@thevoiceofdiabetes yes I stopped it and I am calling my doctor, he even gave me a prescription for fluconazole in advance so what is that telling you, I am 70ty years old and sexually active, who in the hell want a yeast infection or a UTI ,ijs
I am trying to make Jardiance work. However, it washes me out. After day 2, I have zero energy. I fall asleep at my desk, 3-4 times a day and then sleep for 10-12 hours. I am on a Ketovore diet, getting less than 10 grams of carbs a day. Hopefully the diet works soon.
Greetings. I have been in two of those med you have mentioned. Am allergic to them. Not nice to have and allergy and still not bringing your a1c down and not lowering you diabetes level down on the contrary brought it up. Metformin used to keep me in check for many years but as I got old it started affecting my kidneys. Having the natural solution for me to keep in check my diabetes, but been lazy now am in this predicament. I was diagnosed with diabetes after my 50 and my levels were only 150 and below. Talk to my dad side of the family (they are on the medical field) they laugh at the statement I was told by the Dr's. In my dad side of the family their normal levels run 300 they are on insulin. And the younger of my aunt's she is 2 years older than me and is been diabetic since her 20. All my dad side of the family are diabetic.
I’m so sorry to hear that. Family history is so important to know because it definitely places us at higher risk for developing diabetes. It’s so important to stay as active as possible and eat healthy. Keep us posted 😀
Jardiance puts you over the medicare covered class. So I have to take myself off of it for 3 months. Let's address that first.
Oh boy! Don't get me started with coverage please--- Definitely not friends with insurance companies-- to say the least.
We read in the INVOCANA Side effects that it can cause AMPUTATION of the toes or feet! We are not going to risk it even if it’s only a slight chance. My husband is taking other things.
Hi Linda, yes, Invokana has that warning. Initially, it was a black box warning then they removed it and added it as an adverse reaction . We have other meds in the class like Jardiance, that I too would likely not take Invokana even though the risk of amputation is low. I hope your husband is doing well and is able to manage his diabetes with other agents. Best of luck :)
The blood Presher is normal at 300, isn't it?
I have burning sensation sometimes usig forxiga why
It can be from the shift in the blood sugar levels. Hope you are doing well.
Seriously, All medications arn't meant for everyone. If your a doctor that suggests this to anyone
who hasn't been under your care and given a thourough check up it's like telling everyone that an apple a day keeps the doctor away. Your basically seeing things as you describe from patients such as weight loss as you describe because you guys don't know enough about it to even know exactly how it's going to work with everyone so you are learning yourselves about this medicine. My mom was put on this and her doctor wasn't well versed on it. She ended up having complications to Jardiance and passed away. She couldn't even drink enough water to maintain her dehydration. It may be a medication that is wonderful for some but not for everyone. Make sure your doctor is closely monitoring you when starting any new medication
Agreed. Not one shoe fits all. Thats for sure. thanks for your feedback. I hope you are doing well.
Beautiful black hair.
Thank you :)
Nurses of USA in general highly trained.
:)
Haha it's just the opposite. They'll keep you sick.
Used to be on Invokana and it was great, until the cost of the meds went up from $150 per 90day supply to $1800 per 90day supply. The video says nothing about how much it cost for these life saving meds.
I totally understand and it's an unfortunate issue we face every single day. I am sorry that has happened to you
Jardiance makes me light headed and almost made me faint at work. I cannot work as a mechanic and be safe taking it.
Ugh very possible. it has happened to other people. I normally suggest -- changing positions slowly when you are going from sitting to standing and drinking water-- plenty of it. Sometimes, I have to lower blood pressure med dosages due to this issue. Hope this helps
@@thevoiceofdiabetes I've never had high blood pressure in my life my blood pressure is very boring. I don't have high cholesterol either. I'm not overweight by any means. I didn't mind losing some weight. I'm active all day and I do drink plenty of water during my day.
They should make them affordable.
AGREEEDDDD!!!!! 10000000%
Good information ! but find a better place to do your presentation , there is a echo and it's hard to follow
Thanks so much for your feedback. Re-recording these in the new studio. Hope you will enjoy the new videos coming.
Sure Jardiance help diabetes but alot of insurance company's won't cover cause it so costly my doctor try to put me on this but cause the cost was 1.700 insurance would not cover it even with goodrx still was same cost so if your doctor put you on this make sure it's cover cause you'll be sticker shock
Oh please. do not even get me started with insurance companies..... :(
I like the long hair to is that thing have a lot of hair on it
thanks for tuning in
It surpriced me today's like was a colored one .
Sglt
yes :)))
Type2? Cure is Intermittent fasting and low carb lifestyle...not more meds w side effects
We don't use the term "cure" but yes, you can definitely control type 2 diabetes with diet and exercise-- it is highly recommended and encouraged.
Haha she thinks diet & exercise is a good defense. She's reading all the wrong books.
The best are holistics and natural cures not meds
Exercise and diet are always the best option when possible. Definitely have to agree. Those should always be first line before anything else.
Not Jardiance it gave my sister a flesh eating bacteria. She was a little mentally slow but able to take care of herself. We celebrated her 68th birthday on August 27, 2023 and on September 2, 2023 she was rushed to the hospital for emergency surgery and in out of the hospital for 4 months until the Lord called her home on December 29, 2023. So I would be extremely careful recommending Jardiance.
Great video great sweet lady u r
Thanks so much for the sweet comment
Another mainstream AMA PHARMA TALKING REGURGITATOR. HOW ABOUT dealing with the cause of it all, insulin resistance?
Not working for big pharma in anyway. Many people are on these meds and should have knowledge as to how it works, etc. Education only.
A RN describing organs and drugs as “thinking,” “ feeling,” “knowing,” “smart,” etc. is difficult to hear and find the point of the presentation. I understand the need to use common language for a broad audience, but you may have dumbed this down a bit too much.
Makes you piss destroys your life have to carry a urine jug everywhere you go. Worst drug ever
They definitely do cause excessive urination. I do find that as patients continue it and their blood sugars are under better control, urination is more reasonable.
@@thevoiceofdiabetes do you get a commission check on prescribing these meds ? no one should have to endure the amount of times you have to go to the bathroom.
@@27jtroyer not a single dime. That would be a scary way to practice medicine… I’m not sure that exists or if that would ethical. However , it is one of our preferred class of medications if diet and exercise do not suffice.
@@27jtroyer so far it's NOT causing me to go to the bathroom often. It's totally taken away my appetite and I LOVE that!!!
It makes you pee it out.
Yes! That is very true
who is paying you? please disclose.
Jardiance is awful stopped it after 2 days more side effects then you can count. I believe all these pushers on you tube are getting paid.
This is the kind of video that will get you dead. Masking Diabetes is not the fix.
Do the homework a caveman could reverse this Adaptation without 1 💊.
I was using jardiance for a long while then my doctor changed it most recently took me off of it and put me on trulicity. I went from weighing 160 to 168 in a month. She prescribed me miralax to help. Im not happy
ugh, i am sorry to hear that. i hope you are doing well :)
@@thevoiceofdiabetes No, things got worse. I am now battling to get my A1C under control. It took me a long while to accomplish it.
Ultra low carb and KETO, they started me on Farxiga to help my ailing heart valves-- where keto does wonders? but ---- although my ketones were settling in the 2 to 4 range-- but my blood sugar went from 85 to 125 -- WTF is going on?
eat your birthday cake then piss it out all day, if you don't drink enough water your kidneys will suffer from dehydration, Makes you thirsty to piss all day,
Here's a side effect no one is talking about and now I'm living it. Cancer and radical cystomy. I fit this demographic perfectly. I wish now I had gone the holistic route. www.ncbi.nlm.nih.gov/pmc/articles/PMC9625554/
Great video!
Thank you 😊