Question

A 58-year-old on metformin and SGLT2 inhibitor is nil by mouth for elective surgery. How should his diabetes meds be adjusted pre-op?

Accepted Answer

Hold SGLT2 inhibitor 3-4 days pre-op; continue metformin until day before if renal function allows

Answer

Continue SGLT2 inhibitor to day of surgery

Answer

Stop metformin 1 week prior in all

Answer

Add insulin to replace SGLT2 inhibitor

Answer

No changes needed

Practice question

A 58-year-old on metformin and SGLT2 inhibitor is nil by mouth for elective surgery. How should his diabetes meds be adjusted pre-op?