In practice since 1985, Victor L. Roberts, MD, is the founder of Endocrine Associates of Florida in Lake Mary. Victor L. Roberts, MD, is an expert on the use of empagliflozin to control type 2 diabetes.
Approved by the FDA in 2014, the medication controls blood sugar and is prescribed for adults in conjunction with exercise and diet. Known to consumers as Jardiance, empagliflozin also consistently reduces the risk for cardiovascular death, regardless of the type of cardiovascular disease at baseline, compared with placebo when added to standard of care in adults with type 2 diabetes and established cardiovascular disease. Cardiovascular disease is two to four times more common in people with type 2 diabetes and encompasses several different vascular outcomes, including heart attack, heart failure, peripheral vascular disease and stroke. In the landmark EMPEROR-Preserved® phase III trial, Jardiance reduced the combined relative risk of cardiovascular death and hospitalization for heart failure and slowed kidney function decline. Jardiance consistently improved outcomes across the full range of kidney function down to an eGFR of 20 mL/min/1.73 m2 regardless of chronic kidney disease status at baseline. Manufactured as a tablet, its recommended starting dose is 10 mg, taken once a day in the morning. The dosage can be increased to 25 mg, if necessary. Not recommended for type 1 diabetes, empagliflozin is also contraindicated for patients in their second or third trimester of pregnancy ( should be carefully considered before use in the first trimester of pregnancy), as well as avoid in those patients on dialysis or with end-stage renal disease. Offsetting empagliflozin’s benefits are potential side effects, including bladder pain, cloudy, painful, or bloody urine, changes in vaginal discharges, and painful intercourse. Usage may also result in frequent urination or back and side pain.
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AuthorDr. Victor Roberts Archives
September 2021
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