Iberoamerican Journal of Medicine
https://iberoamjmed.com/article/doi/10.53986/ibjm.2025.0001
Iberoamerican Journal of Medicine
Case

The Association of SGLT-2 inhibitors (Empagliflozin) with the development of hypernatremic dehydration: a case report

Asociación de inhibidores de SGLT-2 (Empagliflozina) con el desarrollo de deshidratación hipernatrémica: reporte de un caso

Diana Alegre-González, Sandra García-Guerreros, Sara Martínez-Hernández, Ana Yasmina Brito-Díaz, Marta Casañas-Martínez, Ramón Baeza-Trinidad

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Abstract

Sodium-Glucose-Cotransporter -2 inhibitors (SGLT2 inhibitors) are a new class of drugs that reduce blood glucose levels by increasing glucose excretion and lowering blood pressure through natriuresis and plasma volumen contraction. Due to their beneficial effects, they are currently used in treatment of both diabetes mellitus and heart failure, leading to widespread use in recent years. Here, we present a case of a patient who experienced severe hypernatremic dehydration related to the initiation of treatment with iSGLT2 inhibitors.

Keywords

SGLT-2 inhibitors; Empagliflozin; Hypernatremia; Dehydration

Resumen

Los inhibidores del cotransportador de sodio-glucosa-2 (inhibidores de iSGLT2) son una nueva clase de fa rmacos que reducen los niveles de glucosa en sangre al aumentar la excrecio n de glucosa y disminuir la presio n arterial a trave s de la natriuresis y la contraccio n del volumen plasma tico. Debido a sus efectos beneficiosos, actualmente se utilizan en el tratamiento tanto de la diabetes mellitus como de la insuficiencia cardí aca, lo que ha llevado a un uso generalizado en los u ltimos an os. En este artí culo, presentamos el caso de un paciente que presento una deshidratacio n hipernatre mica grave relacionada con el inicio del tratamiento con inhibidores de iSGLT2.

Palabras clave

Inhibidores SGLT-2; Empagliflozina; Hipernatremia; Deshidratación

References

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Submitted date:
05/04/2024

Reviewed date:
08/01/2024

Accepted date:
10/09/2024

Publication date:
10/23/2024

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