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@bluelagoon Hi! Does anyone know how or why this med has any effect on our urinary tract? My doc is considering it. I'd never had a UTI. Then @ 61, I got a "silent" one, no pain, no fever. Then, one day I wasn't feeling good so I went in & it turned out I had polynephritis aka a double kidney infection. So I'm a bit concerned about UTI's. I would love to know if you've figured anything out about what triggers or caused yours before you were on Jardiance & while on it. Thank you 😊

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Replies to "@bluelagoon Hi! Does anyone know how or why this med has any effect on our urinary..."

@1tahoegal Jardiance relaxes blood vessels and kidney tubules/glomera which helps blood pressure (mine went from about 120/70 to 105/72) and also decreases pressure on the tubules and glomera (filters). UTIs and yeast infections are more common on the SGLT2 inhibitors because the meds work by flushing excess salts (S) and glucose (G) to your bladder and urethra, bypassing your kidneys rather than them working to process them. So, more sugar means more food for bacteria. I've been on Jardiance for a year and no symptoms, but I also don't have diabetes (my glucose and other numbers are stable). While on SGLT2 inhibitors it is important to avoid dehydration, to hydrate enough, and practice good hygiene down there. Frequent urination and also after sex helps. I take unsweetened cranberry juice/supplements, in case that decreases the ability of bacteria to attach to urethral walls (prevents UTIs, not treatment for). https://pmc.ncbi.nlm.nih.gov/articles/PMC7027998/ https://www.fda.gov/food/hfp-constituent-updates/fda-announces-qualified-health-claim-certain-cranberry-products-and-urinary-tract-infections https://www.cdc.gov/uti/about/index.html