A 46-year-old is scheduled for elective laparoscopic cholecystectomy. He takes empagliflozin for T2DM. Perioperative medication plan?...

Question

A 46-year-old is scheduled for elective laparoscopic cholecystectomy. He takes empagliflozin for T2DM. Perioperative medication plan?

Accepted Answer

Stop empagliflozin 3-4 days before surgery to reduce euglycemic DKA risk

Answer

Continue empagliflozin up to the day of surgery

Answer

Hold empagliflozin the morning of surgery only

Answer

Switch to canagliflozin until the day prior

Answer

No changes needed for SGLT2 inhibitors

us-abfm MCQ (SBA): Perioperative Diabetes-SGLT2 Management