A 62-year-old on dapagliflozin is scheduled for elective cholecystectomy. To reduce perioperative euglycemic DKA risk, what should be done?...

Question

A 62-year-old on dapagliflozin is scheduled for elective cholecystectomy. To reduce perioperative euglycemic DKA risk, what should be done?

Accepted Answer

Stop SGLT2 inhibitor 3 days before surgery (4 days for ertugliflozin)

Answer

Continue SGLT2 inhibitor through surgery

Answer

Hold morning of surgery only

Answer

Switch to sulfonylurea until surgery

Answer

Start basal insulin and continue SGLT2 inhibitor

us-abfm MCQ (SBA): Perioperative Diabetes Management