Diet while on Farxiga

I’d love to know the answer to this too. I’m being told to go in Farxiga now and I’ve got Ketones in my blood, which indicates ketosis. I’m not strictly keto but generally stay under 15 grams of carbs in each of my five meals a day.

I went higher carb, but try to do 'smart' carbs and avoid veg and seed oils. I go for my first blood and urine labs on Farxiga in July. Really curious how my labs come out. No negative side effects so far. Thirst, so always have water nearby!

To all posting here. A friendly reminder that Mayo Clinic Connect is non professionals sharing experiences and support. We don’t diagnose or prescribe. My own story includes diabetes and chronic kidney disease (CKD). I rely on my endocrinologist and nephrologist for medication prescriptions. They have also made dietary recommendations and given me referrals to nutrition professionals who specialize in diabetes and renal diets. This has helped me to customize a dietary plan suitable to my particular needs. There really aren’t any “one size fits all” plans out there.

Good news. Got back my first labs after 90 days on Farxiga. Cholesterol down a bit (also on a statin), my triglycerides are great, no impact on liver or kidney panel. My protein in urine went from 33 to 20! A1c dropped 6.3 to 6.1

@dextolen

I am happy for you and your results. My experience with this drug was totally different. The makers of Farxiga clearly explain there can be side effects with this drug so for me after 3 to 6 months, I was one of those victims. Typical patients who use Farxiga can be given one of two doses daily. The first smaller daily dosage is for a diabetic while another larger strength is prescribed for the chronic kidney patient. I took the diabetic dosage and my labs continued to decline rapidly as a result. I became dehydrated and urinated hourly at night which resulted in extreme tiredness for lack of sleep. My endocrinologist swears by Farxiga while some kidney docs are skeptical.
Fast forward two years, I am now on Ozempic, and my diabetes is under full control and no longer taking insulin. The difference was diet by a good dietitian and exercise. For some or many, Farxiga may not be the magic pill that many may expect because of its heavy advertising on TV and other social media sites.

Im sorry you went thru that, but what values declined for you? I want to keep an eye on them myself!

@dextolen

In the long term, type 2 diabetes can cause chronic kidney disease and possibly lead to cardiac problems as well. I have CKD and my fallen values led to near Stage 4, the last stage before dialysis. My A1C reached near 8 where today it is manageable under 7. No more metformin nor insulin, just Ozempic. Libre 2 gives me the checks I need. More than anything, it is important to know your A1C trends and any other difficiency trends. I get labs done every 6 to 8 weeks. As long as your trends are working for you, there probably is no need to change your habits. Keep up your great work.

When I was on Keto I was getting a 5.5 A1C but after years of it I couldn't stick on it faithfully and I went up to 6.3. Protein in urine was what scared me into trying Farx and you can't do strict Keto on it so went to a clean, regular diet. It's easier for me to manage

Just goes to show that there is no one size fits all treatment. Ozempic and Rybelsus were intolerable for me due to severe nausea and emesis. Farxiga after 9months has yielded no side effects, with a drop in my A1C from 11 to 6.2 and improved eGFR from 32 to 50! I am in my 60's and have 25+ years of type 2 diabetes and CKD.