Sodium–glucose cotransporter 2 inhibitor and sarcopenia in a lean elderly adult with type 2 diabetes: A case report
Abstract A 70‐year‐old woman with type 2 diabetes was admitted to Gifu University Hospital, Gifu, Japan, because of ketosis. She was diagnosed with type 2 diabetes at age 49 years and started insulin therapy at age 57 years, which restored glycemic control. Insulin therapy was discontinued and oral...
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doaj-a726ca134ee14206bc49068d418fbd282021-05-02T19:24:57ZengWileyJournal of Diabetes Investigation2040-11162040-11242020-05-0111374574710.1111/jdi.13137Sodium–glucose cotransporter 2 inhibitor and sarcopenia in a lean elderly adult with type 2 diabetes: A case reportMegumi Yasuda0Katsumi Iizuka1Takehiro Kato2Yanyan Liu3Ken Takao4Kenta Nonomura5Masami Mizuno6Daisuke Yabe7Department of Diabetes and Endocrinology Gifu University Graduate School of Medicine Gifu JapanDepartment of Diabetes and Endocrinology Gifu University Graduate School of Medicine Gifu JapanDepartment of Diabetes and Endocrinology Gifu University Graduate School of Medicine Gifu JapanDepartment of Diabetes and Endocrinology Gifu University Graduate School of Medicine Gifu JapanDepartment of Diabetes and Endocrinology Gifu University Graduate School of Medicine Gifu JapanDepartment of Diabetes and Endocrinology Gifu University Graduate School of Medicine Gifu JapanDepartment of Diabetes and Endocrinology Gifu University Graduate School of Medicine Gifu JapanDepartment of Diabetes and Endocrinology Gifu University Graduate School of Medicine Gifu JapanAbstract A 70‐year‐old woman with type 2 diabetes was admitted to Gifu University Hospital, Gifu, Japan, because of ketosis. She was diagnosed with type 2 diabetes at age 49 years and started insulin therapy at age 57 years, which restored glycemic control. Insulin therapy was discontinued and oral antidiabetes drugs, including sodium–glucose cotransporter 2 inhibitor dapagliflozin, were initiated at age 69 years. Thereafter, her bodyweight declined from 40.0 kg to 29.8 kg in 12 months; glycated hemoglobin remained >8.0%. On admission to our hospital, her laboratory tests and computed tomography scan showed ketosis, insulinopenia, and the presence of dehydration and bacterial pneumonia. She also lost substantial bodyweight and developed sarcopenia. The current case shows the importance of patient assessment before sodium–glucose cotransporter 2 inhibitor initiation in the elderly.https://doi.org/10.1111/jdi.13137KetosisSarcopeniaSodium–glucose cotransporter 2 inhibitor |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Megumi Yasuda Katsumi Iizuka Takehiro Kato Yanyan Liu Ken Takao Kenta Nonomura Masami Mizuno Daisuke Yabe |
spellingShingle |
Megumi Yasuda Katsumi Iizuka Takehiro Kato Yanyan Liu Ken Takao Kenta Nonomura Masami Mizuno Daisuke Yabe Sodium–glucose cotransporter 2 inhibitor and sarcopenia in a lean elderly adult with type 2 diabetes: A case report Journal of Diabetes Investigation Ketosis Sarcopenia Sodium–glucose cotransporter 2 inhibitor |
author_facet |
Megumi Yasuda Katsumi Iizuka Takehiro Kato Yanyan Liu Ken Takao Kenta Nonomura Masami Mizuno Daisuke Yabe |
author_sort |
Megumi Yasuda |
title |
Sodium–glucose cotransporter 2 inhibitor and sarcopenia in a lean elderly adult with type 2 diabetes: A case report |
title_short |
Sodium–glucose cotransporter 2 inhibitor and sarcopenia in a lean elderly adult with type 2 diabetes: A case report |
title_full |
Sodium–glucose cotransporter 2 inhibitor and sarcopenia in a lean elderly adult with type 2 diabetes: A case report |
title_fullStr |
Sodium–glucose cotransporter 2 inhibitor and sarcopenia in a lean elderly adult with type 2 diabetes: A case report |
title_full_unstemmed |
Sodium–glucose cotransporter 2 inhibitor and sarcopenia in a lean elderly adult with type 2 diabetes: A case report |
title_sort |
sodium–glucose cotransporter 2 inhibitor and sarcopenia in a lean elderly adult with type 2 diabetes: a case report |
publisher |
Wiley |
series |
Journal of Diabetes Investigation |
issn |
2040-1116 2040-1124 |
publishDate |
2020-05-01 |
description |
Abstract A 70‐year‐old woman with type 2 diabetes was admitted to Gifu University Hospital, Gifu, Japan, because of ketosis. She was diagnosed with type 2 diabetes at age 49 years and started insulin therapy at age 57 years, which restored glycemic control. Insulin therapy was discontinued and oral antidiabetes drugs, including sodium–glucose cotransporter 2 inhibitor dapagliflozin, were initiated at age 69 years. Thereafter, her bodyweight declined from 40.0 kg to 29.8 kg in 12 months; glycated hemoglobin remained >8.0%. On admission to our hospital, her laboratory tests and computed tomography scan showed ketosis, insulinopenia, and the presence of dehydration and bacterial pneumonia. She also lost substantial bodyweight and developed sarcopenia. The current case shows the importance of patient assessment before sodium–glucose cotransporter 2 inhibitor initiation in the elderly. |
topic |
Ketosis Sarcopenia Sodium–glucose cotransporter 2 inhibitor |
url |
https://doi.org/10.1111/jdi.13137 |
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