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How many days prior to surgery do you recommend stopping SGLT2 inhibitors and when is it safe to resume therapy?

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Mednet Member
Mednet Member
Endocrinology · Brigham And Womens Hospital Endocrinology

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 ...

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Mednet Member
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Cardiology · Miami Transplant Institute

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.

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