A 64-year-old with type 2 diabetes on empagliflozin is scheduled for elective colectomy in 4 days. Best perioperative medication instruction?...

Question

A 64-year-old with type 2 diabetes on empagliflozin is scheduled for elective colectomy in 4 days. Best perioperative medication instruction?

Accepted Answer

Stop SGLT2 inhibitor 3-4 days pre-op to reduce euglycemic DKA risk

Answer

Continue SGLT2 inhibitor until day of surgery

Answer

Stop metformin 7 days before surgery

Answer

Start bridging with IV insulin for all patients

Answer

Stop all antihypertensives on surgery day

us-abim MCQ (SBA): Perioperative Medication Management