The more diabetic drugs you’re on, the more risk of hypoglycemia, in response to a blood sugar spike, especially as we try out the GLPs not yet fda approved that have extra high GIP potency! This means that all us diabetics and prediabetics and metabolic syndrome folks who tend to spike higher than average after meals… will tend to slam lower. Just be aware and prepare. I know someone on jardiance and metformin (not for diabetes!) and her doc added zep (which is not contraindicated btw), and she had a couple woozy episodes, luckily it was not while driving and awake and at home so her husband could bring her candy and rescue her.
Jardiance dumps sugar, so gnarly UTIs are a risk. It worked okay for me but not enough. GLPs seem to do what Jardiance does, just typically better, including cool mitochondrial benefits. Not saying anyone should not use it, but be aware that you would be moving into the range of polypharmacy with some major drugs so things bear monitoring.