Guide Peri-Op Management of Diabetes Medications

November 2024

You’ll get questions about how to manage diabetes meds around surgery...partly due to rising use of SGLT2 inhibitors and GLP-1 agonists.

Share guidance with patients and providers about timing of specific diabetes meds around planned surgery to avoid peri-op complications.

Avoid risks from newer diabetes medications. Hold an SGLT2i (canagliflozin, etc) for at least 3 days before surgery. Fasting with an SGLT2i may cause ketoacidosis despite normal glucoses.

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