A 63-year-old scheduled for elective colectomy takes empagliflozin for diabetes and HF. What perioperative medication change is recommended to reduce ...

Question

A 63-year-old scheduled for elective colectomy takes empagliflozin for diabetes and HF. What perioperative medication change is recommended to reduce euglycemic ketoacidosis risk?

Accepted Answer

Stop empagliflozin 3-4 days before surgery

Answer

Continue empagliflozin; hold morning of surgery only

Answer

Stop empagliflozin 24 hours before surgery

Answer

Continue all diabetes drugs unchanged

Answer

Start basal insulin and continue empagliflozin

us-abim MCQ (SBA): Perioperative Medication Management

A 63-year-old scheduled for elective colectomy takes empagliflozin for diabetes and HF. What perioperative medication change is recommended to reduce euglycemic ketoacidosis risk?