top of page

What to do with new diabetic medications at the time of surgery

Updated: Apr 6, 2024



There are a number of new tablet and injectable medications now available to us in New Zealand, for management of diabetes.

Some of these medications need to be discontinued in advance of coming for surgery under general anaesthetic, and it is important to follow the advice from the hospital preassessment team and anaesthetist.

In general:

  • Empagliflozin and other _flozins (Jardiance, Jardiamet) should be stopped 3 days prior to surgery;

  • Continue other tablet diabetes medications up to the day of surgery, but do not take on the day of surgery. These include:

    • vildagliptin

    • vildagliptin/metformin

    • dulaglutide

    • metformin

    • gliclazide, glipizide

Insulins are somewhat more complicated and how to manage these around the time of surgery should be discussed in detail with the anaesthetist prior to surgery.

Recent Posts

See All

Gung hei fat choy

To all our colleagues and patients, happy lunar new year, and year of the snake! 蛇年兴旺,家庭团圆乐无边! shé nián xīng wàng, jiā tíng tuán yuán lè...

New Neurology

Riddiford Neurology is expanding and will be starting a clinic in Whangarei, Northland in 2025. The clinic will be run through the...

Comments


bottom of page