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To minimise risk: Maintain adequate hydration as advised by your clinician (some people, such as those with heart failure or kidney disease, may need fluid restriction rather than increased intake) Be vigilant during hot weather, exercise, or illness Watch for signs of dehydration: dizziness, dry mouth, reduced urine output, dark urine, or postural lightheadedness Contact your GP promptly if you experience persistent vomiting or diarrhoea Diabetic ketoacidosis (DKA) : SGLT2 inhibitors like Jardiance carry a small risk of euglycaemic DKAa serious condition where ketones accumulate even when blood glucose levels are not markedly elevated

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The authors would like to thank Dr Pueschel for reviewing a draft of the article and for his helpful suggestions

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