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10.1016/j.transproceed.2008.10.009 97

SGLT-2 inhibitors do not increase the risk of hypoglycemia severe enough to require treatment, but their use is associated with an increased risk of vaginitis and balanitis, especially in patients with a history of these conditions

They may report a sensation of tearing, feel a sharp pain immediately after the twisting mechanism, and may feel a pop while suddenly changing directions with or without contact