Question

A 63-year-old with diabetes and HFrEF is scheduled for elective noncardiac surgery. Which preoperative medication change is recommended to reduce perioperative ketoacidosis risk?

Accepted Answer

Stop SGLT2 inhibitor 3-4 days before surgery

Answer

Stop ACE inhibitor 7 days before surgery

Answer

Stop beta-blocker 3 days before surgery

Answer

Continue SGLT2 inhibitor through surgery for HF benefit

Answer

Start high-dose steroids pre-op

Practice question

A 63-year-old with diabetes and HFrEF is scheduled for elective noncardiac surgery. Which preoperative medication change is recommended to reduce perioperative ketoacidosis risk?