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SGLT2 medicines: why ketogenic-diet safety needs context

JARDIANCE (empagliflozin) prescribing information and Medication Guide

Published

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Fasting Free source summary: https://fastingfree.com/education/dailymed-2026-empagliflozin/

PLAIN-LANGUAGE SUMMARY

What this source adds

The label identifies ketogenic diets, reduced food intake, illness, and volume depletion among conditions that can precipitate ketoacidosis. Glucose may be below the levels usually expected with ketoacidosis.

Keep these limits in view

This label does not quantify the risk of a particular diet or determine an individual’s suitability. Diet and medicine decisions require the prescribing clinician; the dossier provides no dose-change instructions.

Understand the context

Evidence type
Official prescription-drug labeling
Population or scope
People prescribed empagliflozin, an SGLT2 inhibitor
Comparison
Regulatory safety information; not a randomized comparison of diets
Measured outcomes
Ketoacidosis risk situations and symptoms; volume-depletion and hypoglycemia warnings.