diabetic drugs pre-op

Question 1

sulphonylureas (gliclazide)

Answer 1

omit morning dose on day of surgery

restart once eating and drinking

Question 2

metformin

Answer 2

day before - take as normal , unless surgery with contrast dye - needs to be stopped 2 days before

take as normal on day (unless contrast)

Question 3

pioglitazone

Answer 3

take as normal - before, day of + after

Question 4

SGLT-2 inhibitor

Answer 4

omit on day of surgery, restart once eating + drinking

Question 5

DPP 4 inhibitor

Answer 5

take as normal at all points

Question 6

GLP 1 analogue

Answer 6

take as normal !