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
2
Q
What should happen to long and medium acting insulin on the day of surgery?
A
Dose reduced
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
4
Q
What T2DM drugs need to be stopped on day of surgery?
A
Sulphonylureas
SGLT-2 inhibitors
5
Q
What T2DM drug needs to be stopped a day before surgery (as well as day of)
A
SGLT-2 inhibitors
6
Q
What T2DM drugs don’t need to be stopped on day of surgery?
A
Metformin
Pioglitazone
DPP-4 inhibitors
GLP-1 agonists