SGLT2-Inhibitoren im OP: Risiken und eDKA-Gefahr erklärt
Erfahren Sie alles über SGLT2-Inhibitoren wie Dapagliflozin im OP. Wir erklären die Gefahr der euglykämischen diabetischen Ketoazidose (eDKA) vor Operationen.
Bestes Zitat aus SGLT2-Inhibitoren im OP: Risiken und eDKA-Gefahr erklärt
SGLT2-Inhibitoren haben die Behandlung von Diabetes, Herzinsuffizienz und Nierenerkrankungen revolutioniert, bergen aber das Risiko einer euglykämischen Ketoazidose, bei der der Stoffwechsel gefährlich entgleist, während der Blutzucker fast normal bleibt.
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Häufig gestellte Fragen
SGLT2-Inhibitoren wie Dapagliflozin oder Empagliflozin sind moderne Medikamente, die die Behandlung von Typ-2-Diabetes, Herzinsuffizienz und chronischen Nierenerkrankungen revolutioniert haben. Eli und Lena diskutieren im Podcast, dass diese Wirkstoffe Herz und Nieren schützen und daher für viele Patienten lebenswichtig geworden sind. Trotz ihrer Vorteile als Super-Wirkstoffe bringen sie jedoch in der perioperativen Medizin spezifische Herausforderungen mit sich, die im Krankenhaus vor Operationen beachtet werden müssen.
Die euglykämische diabetische Ketoazidose, kurz eDKA, ist eine tückische Stoffwechselentgleisung, die als Risiko bei der Einnahme von SGLT2-Inhibitoren auftreten kann. Das Besondere und Gefährliche daran ist, dass der Blutzuckerspiegel dabei fast normal bleibt, während der Körper bereits übersäuert. Wie Lena erklärt, schrillen bei normalen Ketoazidosen die Alarmglocken oft erst bei sehr hohen Blutzuckerwerten, doch bei der eDKA bleibt dieser Warnhinweis aus, was die Diagnose im klinischen Alltag erschwert.
Obwohl SGLT2-Inhibitoren im Alltag viele Vorteile bieten, können sie in der perioperativen Medizin zum Problem werden. Das Hauptrisiko besteht in der Entwicklung einer eDKA während oder nach chirurgischen Eingriffen. Da der Blutzucker bei dieser Form der Ketoazidose nicht massiv ansteigt, wird die Lebensgefahr oft zu spät erkannt. Eli und Lena thematisieren, warum es so wichtig ist, diese Medikamente im Umfeld einer Operation kritisch zu überwachen, um schwere Komplikationen zu vermeiden.
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"BeFreed replaced my podcast queue. Imagine Spotify for books — that’s it. 🙌"
"It is great for me to learn something from the book without reading it."
"The themed book list podcasts help me connect ideas across authors—like a guided audio journey."
"Makes me feel smarter every time before going to work"
Von Columbia University Alumni in San Francisco entwickelt
"Instead of endless scrolling, I just hit play on BeFreed. It saves me so much time."
"I never knew where to start with nonfiction—BeFreed’s book lists turned into podcasts gave me a clear path."
"Perfect balance between learning and entertainment. Finished ‘Thinking, Fast and Slow’ on my commute this week."
"Crazy how much I learned while walking the dog. BeFreed = small habits → big gains."
"Reading used to feel like a chore. Now it’s just part of my lifestyle."
"Feels effortless compared to reading. I’ve finished 6 books this month already."
"BeFreed turned my guilty doomscrolling into something that feels productive and inspiring."
"BeFreed turned my commute into learning time. 20-min podcasts are perfect for finishing books I never had time for."
"BeFreed replaced my podcast queue. Imagine Spotify for books — that’s it. 🙌"
"It is great for me to learn something from the book without reading it."
"The themed book list podcasts help me connect ideas across authors—like a guided audio journey."
"Makes me feel smarter every time before going to work"
"Instead of endless scrolling, I just hit play on BeFreed. It saves me so much time."
"I never knew where to start with nonfiction—BeFreed’s book lists turned into podcasts gave me a clear path."
"Perfect balance between learning and entertainment. Finished ‘Thinking, Fast and Slow’ on my commute this week."
"Crazy how much I learned while walking the dog. BeFreed = small habits → big gains."
"Reading used to feel like a chore. Now it’s just part of my lifestyle."
"Feels effortless compared to reading. I’ve finished 6 books this month already."
"BeFreed turned my guilty doomscrolling into something that feels productive and inspiring."
"BeFreed turned my commute into learning time. 20-min podcasts are perfect for finishing books I never had time for."
"BeFreed replaced my podcast queue. Imagine Spotify for books — that’s it. 🙌"
"It is great for me to learn something from the book without reading it."
"The themed book list podcasts help me connect ideas across authors—like a guided audio journey."
"Makes me feel smarter every time before going to work"
"Instead of endless scrolling, I just hit play on BeFreed. It saves me so much time."
"I never knew where to start with nonfiction—BeFreed’s book lists turned into podcasts gave me a clear path."
"Perfect balance between learning and entertainment. Finished ‘Thinking, Fast and Slow’ on my commute this week."
"Crazy how much I learned while walking the dog. BeFreed = small habits → big gains."
"Reading used to feel like a chore. Now it’s just part of my lifestyle."
"Feels effortless compared to reading. I’ve finished 6 books this month already."
"BeFreed turned my guilty doomscrolling into something that feels productive and inspiring."
"BeFreed turned my commute into learning time. 20-min podcasts are perfect for finishing books I never had time for."
"BeFreed replaced my podcast queue. Imagine Spotify for books — that’s it. 🙌"
"It is great for me to learn something from the book without reading it."
"The themed book list podcasts help me connect ideas across authors—like a guided audio journey."
"Makes me feel smarter every time before going to work"
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