The following guidelines are for patients with Diabetes Mellitus presenting for surgery.
1. Omit the following medications 48 Hours prior to your surgery. Notify your general practitioner and / or your diabetes specialist of these plans.
- Dapagliflozin (Forxiga),
- Empagliflozin (Jardiance),
- Ertugliflozin (Steglatro)
- Xigduo, Jardiamet, Segluromet
- (Glyxambi, Qtern, Steglujan).
These medications have been associated with an increased risk of diabetic ketoacidosis. For more information.
2. Omit All Oral hypoglycaemic medications (including metformin) on the day of surgery. eg
- Gliclazide ( Diamicron )
- Metformin ( Diabex)
3.. You will have to FAST for 6 hours prior to your operation. You may drink WATER up until 3 hours prior to your surgery
4. . Bring your medications with you to the hospital.
5. Every attempt will be made for your surgery to be performed at the start of the operating list.
6. Notify nursing staff upon your arrival in the hospital that you are Diabetic so that your blood sugar can be monitored every 2 hours.
7. For Patients on Insulin.
- Notify your GP or Diabetic specialist that you are having surgery.
- In general Take a HALF of your usual morning dose of insulin.
- If your planned surgery is likely to be > 1 hour duration (moderate to major surgery) you may need an IV dr1p with 5% Dextrose inserted on admission to hospital
8. All patients with Diabetes Mellitus are to RESUME NORMAL DIET AND USUAL DIABETES TREATMENT as soon as possible post surgery.