A 62-year-old man with type 2 diabetes and HFpEF is scheduled for elective hernia repair. He takes empagliflozin. What is the best perioperative plan ...

Question

A 62-year-old man with type 2 diabetes and HFpEF is scheduled for elective hernia repair. He takes empagliflozin. What is the best perioperative plan for the SGLT2 inhibitor?

Accepted Answer

Stop 3-4 days before surgery and restart when eating and clinically stable

Answer

Continue through surgery to maintain glycemic control

Answer

Hold the morning of surgery only

Answer

Stop 1 day before and restart evening after surgery

Answer

Switch to basal insulin 48 hours pre-op and continue SGLT2 inhibitor

us-abfm MCQ (SBA): Perioperative Medication Management

A 62-year-old man with type 2 diabetes and HFpEF is scheduled for elective hernia repair. He takes empagliflozin. What is the best perioperative plan for the SGLT2 inhibitor?