Invokana

Invokana Ketoacidosis: Acetone Breath & Hyperglycemia

Invokana ketoacidosis

Invokana ketoacidosis (DKA) has many consumers worried. Though diabetic keotacidosis isn’t uncommon in type 1 diabetics, it’s very rare in people with type 2 diabetes. Between March 2013 and May 2015, the FDA received 73 diabetic ketoacidosis reports from patients treated with SGLT2 inhibitors. (That’s the same class of drugs in which Invokana belongs.) With so many consumers taking Invokana reporting diabetic ketoacidosis adverse events, the drug merits a second look.

How Invokana Ketoacidosis Occurs

Between March 2013 and May 2015, the FDA received 73 Invokana ketoacidosis adverse event reports. How could Invokana cause DKA? First, see how SGLT2 inhibitors set off a chain reaction causing excessive ketone production (also known as blood acids).

1. SGLT2 Inhibitors and Hyperglycemia

“SGLT” stands for “sodium glucose co-transporter,” and the “2” is the transporter specifically responsible for glucose reabsorption in the kidneys. So blocking, or inhibiting, the SGLT2 means that glucose gets kicked out of the blood and into the urine. But the process of the kidneys sending too much glucose to the bladder is called hyperglycemia.

2. Urine and Hyperglycemia

Hyperglycemia occurs when the bladder receives an overload of glucose from the kidneys. The bladder can’t move glucose without more liquid. The body starts pulling liquid and nutrients from the blood to compensate. That leads to dehydration. While the blood lacks necessary liquid, it becomes more acidic and flows more slowly.

3. Ketone Production

Many people know that glucose, or sugar, provides the body with energy. What most people do not know is that the body can also take energy from ketones. Ketones are produced when the body does not have enough glucose (or, in people with diabetes, cannot properly use glucose).

As the glucose is removed from the blood, the body starts producing ketones to make up the difference. This process is called ketosis. But ketones are acidic, and they even break down into a common paint thinner called acetone. When there are too many ketones in the blood, you basically have the building blocks for acetone paint thinner in your veins. Combine the acid with low levels of liquid, and you have the very real potential for blood clots.

4. Ketones to Ketoacidosis

Just like your body cannot handle too much sugar, it cannot function with too many ketones. When the ketones begin to break down and dramatically increase the acidity of your blood, that process is called ketoacidosis.

5. Cascading Side Effects

Invokana DKA can quickly lead to blood clots, which cause heart attacks and strokes. If you are experiencing symptoms of diabetic ketoacidosis, talk to a healthcare provider as soon as possible.

After You Suffer Invokana Ketoacidosis

If you or a loved one experienced Invokana ketoacidosis, you may be entitled to compensation. Invokana lawsuits state the drug’s manufacturer didn’t provide adequate warnings about DKA risks, which is otherwise extremely rare in type 2 diabetes patients. Get a free, online evaluation today to see if you may qualify for a no-obligation legal consultation.