Question

A 59-year-old with type 2 diabetes on empagliflozin is scheduled for elective colectomy. To reduce perioperative euglycemic DKA risk, what should be done?

Accepted Answer

Stop SGLT2 inhibitor 3-4 days before surgery

Answer

Continue SGLT2 inhibitor until the day before surgery

Answer

Switch to metformin 24 hours pre-op only

Answer

Hold all antihyperglycemics for 7 days

Answer

Give basal insulin bolus pre-op and continue SGLT2

Practice question

A 59-year-old with type 2 diabetes on empagliflozin is scheduled for elective colectomy. To reduce perioperative euglycemic DKA risk, what should be done?