How many days prior to surgery do you recommend stopping SGLT2 inhibitors and when is it safe to resume therapy?
Answer from: at Community Practice
SGLT2-inhibitors have been known to precipitate episodes of diabetic ketoacidosis(DKA) with glucose levels far lower than are usually seen in DKA. This has been called euglycemic DKA. SGLT-2 inhibitors cause an increase in the glucagon to insulin ratio, which promotes ketosis, as well as fluid loss ...
Comments
at Cardiovascular Institute Of Central Florida 3-4 days before the major elective surgery.
Holding 3 to 4 days prior to major surgery is acceptable and is justified based on risk vs benefit profile. However, for procedures requiring moderate sedation, I would like to know your practices.
3-4 days before the major elective surgery.