It should also be mentioned that there is an increased
incidence and prevalence of nephrolithiasis in patients
with T2DM, and it is possible that treatment with a
URAT1 inhibitor might, as a side effect, increase the risk
of forming urate stones. With insulin resistance, although
urinary urate levels are usually not increased (because of
increased renal tubular reabsorption of urate), urinary ammonium
excretion is reduced and urine pH is more acid,
which increases the risk of urate crystallization [70].