Peri-Operative Diabetes Management Flashcards

1
Q

When should someone’s normal insulin regime be restarted?

A

When they are eating and drinking as normal

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2
Q

What should happen to long and medium acting insulin on the day of surgery?

A

Dose reduced

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3
Q

What should happen to short acting insulin on day of surgery?

A

Omit for any meals not having e.g. if not having breakfast, don’t take morning dose, if not having lunch don’t take midday dose

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4
Q

What T2DM drugs need to be stopped on day of surgery?

A

Sulphonylureas
SGLT-2 inhibitors

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5
Q

What T2DM drug needs to be stopped a day before surgery (as well as day of)

A

SGLT-2 inhibitors

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6
Q

What T2DM drugs don’t need to be stopped on day of surgery?

A

Metformin
Pioglitazone
DPP-4 inhibitors
GLP-1 agonists

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