Question

A 72-year-old man with T2D and HFrEF is scheduled for elective hernia repair. He takes empagliflozin, metformin, carvedilol, sacubitril/valsartan, and spironolactone. What should be done with empagliflozin preoperatively?

Accepted Answer

Hold 3-4 days before surgery to reduce risk of ketoacidosis

Answer

Continue through surgery to maintain glycemic control

Answer

Hold only the morning of surgery

Answer

Stop 1 day before surgery and restart the evening after

Answer

Switch to a sulfonylurea 1 week before surgery

Practice question

A 72-year-old man with T2D and HFrEF is scheduled for elective hernia repair. He takes empagliflozin, metformin, carvedilol, sacubitril/valsartan, and spironolactone. What should be done with empagliflozin preoperatively?