Question

A 59-year-old with CKD and diabetes is starting an SGLT2 inhibitor. What perioperative instruction is appropriate?

Accepted Answer

Hold SGLT2 inhibitor during prolonged fasting or major surgery to reduce ketoacidosis risk

Answer

Continue SGLT2 inhibitor through surgery to avoid hyperglycemia

Answer

Switch to DPP-4 inhibitor the day before surgery

Answer

No change is needed if eGFR >60

Answer

Double the dose preoperatively

Practice question

A 59-year-old with CKD and diabetes is starting an SGLT2 inhibitor. What perioperative instruction is appropriate?