Hi All, It’s been a while since I’ve been on the boards…I started Invokana 2.5 years ago and it was fabulous, but seemed like it was starting to lose benefits. I started gaining weight again (after 15 lb weight loss) and got higher postprandial numbers again. I decided to go to the 300 mg dose, and did a little better but not great. Then, I got greedy (for weight loss and blood glucose control) and started a modified ketogenic diet. I say modified because I still ate tons of vegetables (carbs) but did cut out grain/insulin-requiring carbs. Sure enough, 3 weeks into that and I was in euglycemic DKA. One of the worst experiences of my life.
My Endo said I should try switching to Victoza. He prescribed it today and I will start on Saturday. I see different opinions here about when to take it and the degree of side effects. I’m hoping for more weight loss again and better BGs. Question, if I take it at night might I sleep through some of the nausea/dizziness?
Also, how much did you lower your insulin dose in the early days? With invokana I dropped by about 35%. I just did a temp basal on my pump until I was sure it was staying. Any successes with adding Victoza, adjusting insulin levels and not going too low?
BTW, my doctor said that invokana increases risk of DKA because it causes an increase in Glucagon, something they didn’t realize, but feel that it has some role in DKA (which I don’t totally understand). He says that I won’t face that with Victoza and that I could even do lower carb again…